Matthew J Jalazo, in Ft. Campbell, KY - Medicare Psychologist Provider

Matthew J Jalazo, is a medicare enrolled "Psychologist" provider in Ft. Campbell, Kentucky. His current practice location is Blanchfielld Army Community Hospital, 650 Joel Drive, Ft. Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-8372.

Matthew J Jalazo is licensed to practice in Alabama (license number 1305) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437263233.

Contact Information

	Matthew J Jalazo,
	Blanchfielld Army Community Hospital, 650 Joel Drive, Ft. Campbell, KY 42223-5349
	(270) 798-8372
	(270) 956-0180

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew J Jalazo
Gender	Male
Speciality	Psychologist
Location	Blanchfielld Army Community Hospital, Ft. Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437263233
Provider Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991119877
Enrollment ID: I20210204002204

Medical Identifiers

Medical identifiers for Matthew J Jalazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437263233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1305 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew J Jalazo allows following entities to bill medicare on his behalf.

Entity Name	Mcr Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew J Jalazo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew J Jalazo, Blanchfielld Army Community Hospital, 650 Joel Drive, Ft. Campbell, KY 42223-5349 Ph: (270) 798-8372	Matthew J Jalazo, Blanchfielld Army Community Hospital, 650 Joel Drive, Ft. Campbell, KY 42223-5349 Ph: (270) 798-8372

Reviews and Comments

Psychologist in Ft. Campbell, KY

Dr. Mario Di Biase, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7149 Blacksheep Run, Ft. Campbell, KY 42223 Phone: 270-798-8727
David Allen Boyer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Lapointe Health Clinic, Ft. Campbell, KY 42223 Phone: 270-956-0303
Mrs. Whitney A Devers, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223 Phone: 270-798-8727 Fax: 270-956-0180
Dr. Jason B Deleeuw, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr., Blanchfield Army Community Hospital, Ft. Campbell, KY 42223 Phone: 270-798-8727 Fax: 270-956-0180

Matthew J Jalazo, - Medicare Psychologist in Ft. Campbell, KY