Blake Andersen, PHD in Central Point, OR - Medicare Psychologist Provider

Blake Andersen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Central Point, Oregon. His current practice location is 870 S Front St Ste 200, Central Point, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 732-8000.

Blake Andersen is licensed to practice in Oregon (license number 3910) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306652110.

Contact Information

	Blake Andersen, PHD
	870 S Front St Ste 200, Central Point, OR 97502-2779
	(541) 732-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Andersen
Gender	Male
Speciality	Psychologist - Clinical
Location	870 S Front St Ste 200, Central Point, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306652110
Provider Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4880120088
Enrollment ID: I20241211003294

Medical Identifiers

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

Identifier	Type	State	Issuer
1306652110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3910 (Oregon)	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. Blake Andersen allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315

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. Blake Andersen 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
Blake Andersen, PHD 711 Medford Ctr # 132, Medford, OR 97504-6772 Ph: () -	Blake Andersen, PHD 870 S Front St Ste 200, Central Point, OR 97502-2779 Ph: (541) 732-8000

Reviews and Comments

Psychologist in Central Point, OR

Eunbeen Lee, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St Ste 200, Central Point, OR 97502 Phone: 541-732-8000 Fax: 541-732-3404
Dr. Alan Ledford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 312 Oak St Ste 205, Central Point, OR 97502 Phone: 541-499-0344 Fax: 510-868-2924
Dr. Howard M Fleischman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St Ste 200, Central Point, OR 97502 Phone: 541-664-3346

Blake Andersen, PHD - Medicare Psychologist in Central Point, OR