Marlene Zouein Blaizot, MD in Provo, UT - Medicare Psychiatry & Neurology

Marlene Zouein Blaizot, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Provo, Utah. Her current practice location is 1300 East Center Street, Utah State Hospital, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 344-4200.

Marlene Zouein Blaizot is licensed to practice in Illinois (license number 125-053846) 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 1902099385.

Contact Information

	Marlene Zouein Blaizot, MD
	1300 East Center Street, Utah State Hospital, Provo, UT 84603-0000
	(801) 344-4200
	(801) 344-4291

Map and Direction

Physician's Profile

Full Name	Marlene Zouein Blaizot
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1300 East Center Street, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902099385
Provider Enumeration Date: 08/20/2007
Last Update Date: 11/19/2011

Medicare PECOS Information:

PECOS PAC ID: 1052587144
Enrollment ID: I20111220000198

Medical Identifiers

Medical identifiers for Marlene Zouein Blaizot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902099385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	125-053846 (Illinois)	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. Marlene Zouein Blaizot allows following entities to bill medicare on her behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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. Marlene Zouein Blaizot 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
Marlene Zouein Blaizot, MD Po Box 270, 1300 East Center Street Utah State Hospital, Provo, UT 84603-0270 Ph: (801) 344-4200	Marlene Zouein Blaizot, MD 1300 East Center Street, Utah State Hospital, Provo, UT 84603-0000 Ph: (801) 344-4200

Reviews and Comments

Psychiatry & Neurology Doctors in Provo, UT

Edward Leslie Kelly, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4225
Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Dr. Stephen Peters, PSYD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1200

Marlene Zouein Blaizot, MD - Medicare Psychiatry & Neurology in Provo, UT