Dr Aimee Blackham, PHD in Ruston, LA - Medicare Psychologist Provider

Dr Aimee Blackham, PHD is a medicare enrolled "Psychologist - Counseling" provider in Ruston, Louisiana. Her current practice location is 206 E Reynolds Dr Ste 1200, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 224-7223.

Dr Aimee Blackham is licensed to practice in Louisiana (license number 1373) 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 1114332038.

Contact Information

	Dr Aimee Blackham, PHD
	206 E Reynolds Dr Ste 1200, Ruston, LA 71270-2809
	(318) 224-7223
	(318) 414-1004

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Aimee Blackham
Gender	Female
Speciality	Psychologist - Counseling
Location	206 E Reynolds Dr Ste 1200, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114332038
Provider Enumeration Date: 06/30/2014
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 3375994809
Enrollment ID: I20240109004863

Medical Identifiers

Medical identifiers for Dr Aimee Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114332038	NPI	-	NPPES
567123890	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	1373 (Louisiana)	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. Dr Aimee Blackham allows following entities to bill medicare on her behalf.

Entity Name	Thinktrek Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215415229 PECOS PAC ID: 1951754951 Enrollment ID: O20240125003776

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. Dr Aimee Blackham 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
Dr Aimee Blackham, PHD 3506 Evelyn Cir, Ruston, LA 71270-5323 Ph: (318) 243-0465	Dr Aimee Blackham, PHD 206 E Reynolds Dr Ste 1200, Ruston, LA 71270-2809 Ph: (318) 224-7223

Reviews and Comments

Psychologist in Ruston, LA

Dr. Walter C Buboltz Jr., PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 206 E Reynolds Dr Ste F2, Ruston, LA 71270 Phone: 318-224-7223 Fax: 318-415-1004
Mrs. Antoinette Kelly-clark, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 171 Water Tank Rd, Ruston, LA 71270 Phone: 318-548-7242
Dr. David Lanson Wheeler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 Ezell Street, Ruston, LA 71270 Phone: 318-251-3126
Eric Deemer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2419 Redwood St, Ruston, LA 71270 Phone: 318-257-3659

Dr Aimee Blackham, PHD - Medicare Psychologist in Ruston, LA