Tegan Blackbird, PH D in Manheim, PA - Medicare Clinical Psychologist Provider

Tegan Blackbird, PH D is a medicare enrolled "Psychologist - Clinical" provider in Manheim, Pennsylvania. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 108 S Main St, Manheim, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 964-8897.

Tegan Blackbird is licensed to practice in Pennsylvania (license number PS004895L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841211026.

Contact Information

	Tegan Blackbird, PH D
	108 S Main St, Manheim, PA 17545-1602
	(717) 964-8897
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tegan Blackbird
Gender	Male
Speciality	Clinical Psychologist
Experience	39 Years
Location	108 S Main St, Manheim, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tegan Blackbird graduated from medical school in 1985

NPI Data:

NPI Number: 1841211026
Provider Enumeration Date: 07/22/2006
Last Update Date: 08/10/2020

Medicare PECOS Information:

PECOS PAC ID: 0042226029
Enrollment ID: I20060301000319

Medical Identifiers

Medical identifiers for Tegan Blackbird such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841211026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS004895L (Pennsylvania)	Primary
103T00000X	Psychologist	PS004895L (Pennsylvania)	Secondary

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. Tegan Blackbird allows following entities to bill medicare on his behalf.

Entity Name	Journey Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477164895 PECOS PAC ID: 6002233897 Enrollment ID: O20200825001536

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. Tegan Blackbird 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
Tegan Blackbird, PH D 40 Pheasant Ct, Elizabethtown, PA 17022-9206 Ph: (717) 964-8897	Tegan Blackbird, PH D 108 S Main St, Manheim, PA 17545-1602 Ph: (717) 964-8897

Reviews and Comments

Psychologist in Manheim, PA

Dr. John R Guetter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2023 Town Sq N, Manheim, PA 17545 Phone: 717-665-2674 Fax: 717-560-2117
Patricia A Gready, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 S Main St, Manheim, PA 17545 Phone: 717-665-2675 Fax: 717-665-6193
Dr. Kevin Paul Newgren, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 108 S Main St, Manheim, PA 17545 Phone: 717-665-2675 Fax: 717-665-6193
Douglas L Friesen, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 108 S Main St, Manheim, PA 17545 Phone: 717-665-2675 Fax: 717-665-6193

Tegan Blackbird, PH D - Medicare Psychologist in Manheim, PA