Ms Mariellen E Blanton, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Windsor, Virginia. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Thrive Counseling Llc and her current practice location is
79 E Windsor Blvd, Windsor, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 242-9988.
Ms Mariellen E Blanton is licensed to practice in Virginia (license number 0904006099) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245270909.
Healthcare Provider's Profile
| Full Name | Ms Mariellen E Blanton |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 79 E Windsor Blvd, Windsor, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Mariellen E Blanton graduated from medical school in 1998
NPI Data:
- NPI Number: 1245270909
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 03/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 2567472707
- Enrollment ID: I20060502000632
Medical Identifiers
Medical identifiers for Ms Mariellen E Blanton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245270909 | NPI | - | NPPES |
| 194059 | Other | VA | BSVA |
| 2143183 | Other | VA | MAMSI |
| 248016 | Other | | ANTHEM BCBS |
| O88709M | Other | VA | SENTARA MENTAL HEALTH |
| 1322073 | Other | | COMPSYCH |
| 268230 | Other | | COMPSYCH |
| 374444 | Other | VA | CHAMPUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710101448 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904006099 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thrive Counseling Llc | 0749458420 | 587 |
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. Ms Mariellen E Blanton allows following entities to bill medicare on her behalf.
| Entity Name | Tidewater Psychotherapy Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700830742
PECOS PAC ID: 9335128305
Enrollment ID: O20040714001441 |
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| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20171025002417 |
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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. Ms Mariellen E Blanton 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 |
|---|
Ms Mariellen E Blanton, LCSW
2816 W Gibbs Rd,
Virginia Beach, VA 23457-1067
Ph: (757) 242-9988 | Ms Mariellen E Blanton, LCSW
79 E Windsor Blvd,
Windsor, VA 23487-9410
Ph: (757) 242-9988 |
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