Timothy G Blake, LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Timothy G Blake, LP is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System and his current practice location is 2649 Park Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 676-1604.

Timothy G Blake is licensed to practice in Minnesota (license number 5115) 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 1568796613.

Contact Information

	Timothy G Blake, LP
	2649 Park Ave, Minneapolis, MN 55407-1006
	(612) 676-1604
	(612) 379-8235

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy G Blake
Gender	Male
Speciality	Clinical Psychologist
Experience	30 Years
Location	2649 Park Ave, Minneapolis, Minnesota
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:

Timothy G Blake graduated from medical school in 1994

NPI Data:

NPI Number: 1568796613
Provider Enumeration Date: 09/22/2009
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0648559518
Enrollment ID: I20161116002201

Medical Identifiers

Medical identifiers for Timothy G Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568796613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5115 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Timothy G Blake allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Timothy G Blake 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
Timothy G Blake, LP 2649 Park Ave, Minneapolis, MN 55407-1006 Ph: (612) 676-1604	Timothy G Blake, LP 2649 Park Ave, Minneapolis, MN 55407-1006 Ph: (612) 676-1604

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Timothy G Blake, LP - Medicare Psychologist in Minneapolis, MN