Mr Adam Thomas Blancher, PHD in Shreveport, LA - Medicare Psychologist Provider

Mr Adam Thomas Blancher, PHD is a medicare enrolled "Psychologist" provider in Shreveport, Louisiana. His current practice location is 1450 Claiborne Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 813-2960.

Mr Adam Thomas Blancher is licensed to practice in Louisiana (license number 1266) 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 1497900187.

Contact Information

	Mr Adam Thomas Blancher, PHD
	1450 Claiborne Ave, Shreveport, LA 71103-4204
	(318) 813-2960
	(318) 813-2989

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Adam Thomas Blancher
Gender	Male
Speciality	Psychologist
Location	1450 Claiborne Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497900187
Provider Enumeration Date: 11/21/2008
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 3274834940
Enrollment ID: I20151222002104

Medical Identifiers

Medical identifiers for Mr Adam Thomas Blancher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497900187	NPI	-	NPPES
1174173	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1266 (Louisiana)	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. Mr Adam Thomas Blancher allows following entities to bill medicare on his behalf.

Entity Name	Louisiana State University Health Sciences Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144265976 PECOS PAC ID: 6103730908 Enrollment ID: O20151214001377

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

Entity Name	Lsuhsc-s School Of Allied Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740904291 PECOS PAC ID: 2860869526 Enrollment ID: O20221109001624

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. Mr Adam Thomas Blancher 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
Mr Adam Thomas Blancher, PHD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 813-2970	Mr Adam Thomas Blancher, PHD 1450 Claiborne Ave, Shreveport, LA 71103-4204 Ph: (318) 813-2960

Reviews and Comments

Psychologist in Shreveport, LA

Jeanne Street, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Herndon Ave, Shreveport, LA 71101 Phone: 318-424-3867 Fax: 318-424-5006
Dr. Bruce K Mccormick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3341 Youree Dr Ste 20a, Shreveport, LA 71105 Phone: 318-865-7500 Fax: 318-868-2035
Dr. Roquel A Williams, PHD, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 566 E 71st St, Shreveport, LA 71106 Phone: 318-865-2888 Fax: 318-865-2814
Mr. Arthur Merriam Ruggles, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2620 Centenary Blvd., Bldg.3,, Ste. 304 Meece & Associates, L.l.c., Shreveport, LA 71104 Phone: 318-226-1555 Fax: 318-226-0406
Dr. Robert Herbert Jordan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Overton Brooks Va Medical Center--116b, Shreveport, LA 71101 Phone: 318-424-6051
Dr. Richard Lewis Price, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 864 Olive St, Shreveport, LA 71104 Phone: 318-670-8440
Jennifer Russell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3341 Youree Dr Ste 20a, Shreveport, LA 71105 Phone: 318-425-2000 Fax: 318-424-2601

Mr Adam Thomas Blancher, PHD - Medicare Psychologist in Shreveport, LA