Blake Bazel, PHD in Orange Park, FL - Medicare Psychologist Provider

Blake Bazel, PHD is a medicare enrolled "Psychologist - Clinical" provider in Orange Park, Florida. His current practice location is 1677 Wells Rd, Suite A, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 272-0043.

Blake Bazel is licensed to practice in Florida (license number PY8593) 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 1487904744.

Contact Information

	Blake Bazel, PHD
	1677 Wells Rd, Suite A, Orange Park, FL 32073-6799
	(904) 272-0043
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Bazel
Gender	Male
Speciality	Psychologist - Clinical
Location	1677 Wells Rd, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487904744
Provider Enumeration Date: 09/14/2012
Last Update Date: 02/26/2013

Medicare PECOS Information:

PECOS PAC ID: 9335387273
Enrollment ID: I20130604000651

Medical Identifiers

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

Identifier	Type	State	Issuer
1487904744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY8593 (Florida)	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 Bazel allows following entities to bill medicare on his behalf.

Entity Name	Dr Blake Bazel Phd Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467792697 PECOS PAC ID: 2163660002 Enrollment ID: O20130604000632

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 Bazel 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 Bazel, PHD 1677 Wells Rd, Suite A, Orange Park, FL 32073-6799 Ph: (904) 272-0043	Blake Bazel, PHD 1677 Wells Rd, Suite A, Orange Park, FL 32073-6799 Ph: (904) 272-0043

Reviews and Comments

Psychologist in Orange Park, FL

Minor Chamblin, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073 Phone: 904-269-3324 Fax: 904-264-2302
Janet Miller Moore, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 517 Berkshire Ct, Orange Park, FL 32073 Phone: 904-276-0809 Fax: 904-276-7078
Mrs. Jenny Gamble, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33 Knight Boxx Rd # 2, Orange Park, FL 32065 Phone: 904-385-9310
Savannah Landis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave Ste 18a, Orange Park, FL 32073 Phone: 904-269-3324
Ruth J Keili, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3562 Old Village Dr, Orange Park, FL 32065 Phone: 757-812-3776
Dr. Jacqueline Eunice Haywood, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 Knight Boxx Rd Apt 8301, Orange Park, FL 32065 Phone: 407-247-4381
Dr. Vonda Elizabeth Staten, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Prairie Dunes Ct, Orange Park, FL 32065 Phone: 904-708-7754

Blake Bazel, PHD - Medicare Psychologist in Orange Park, FL