Melinda Sue Blake, MSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Junction, Colorado. Her current practice location is
2635 N 7th St, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 298-2273.
Melinda Sue Blake is licensed to practice in Colorado (license number CSW.09928470) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386109098.
Healthcare Provider's Profile
Full Name | Melinda Sue Blake |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2635 N 7th St, Grand Junction, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386109098
- Provider Enumeration Date: 02/06/2019
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517301617
- Enrollment ID: I20240216001595
Medical Identifiers
Medical identifiers for Melinda Sue Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386109098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09928470 (Colorado) | 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. Melinda Sue Blake allows following entities to bill medicare on her behalf.
Entity Name | St Marys Hospital And Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275714081 PECOS PAC ID: 1557267069 Enrollment ID: O20031218000149 |
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Entity Name | Lifespan Psychiatry Of Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497360838 PECOS PAC ID: 0749694495 Enrollment ID: O20210121000197 |
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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. Melinda Sue 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 |
Melinda Sue Blake, MSW 2635 N 7th St, Grand Junction, CO 81501-8209 Ph: () - | Melinda Sue Blake, MSW 2635 N 7th St, Grand Junction, CO 81501-8209 Ph: (970) 298-2273 |
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