Dr Jason Randelle Blizzard, PHD in Lebanon, NH - Medicare Psychologist Provider

Dr Jason Randelle Blizzard, PHD is a medicare enrolled "Psychologist" provider in Lebanon, New Hampshire. His current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Dr Jason Randelle Blizzard is licensed to practice in New Hampshire (license number 1663) 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 1245877802.

Contact Information

	Dr Jason Randelle Blizzard, PHD
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jason Randelle Blizzard
Gender	Male
Speciality	Psychologist
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245877802
Provider Enumeration Date: 12/03/2019
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9436508447
Enrollment ID: I20231214003537

Medical Identifiers

Medical identifiers for Dr Jason Randelle Blizzard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245877802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	004353 (Georgia)	Secondary
103T00000X	Psychologist	1663 (New Hampshire)	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 Jason Randelle Blizzard allows following entities to bill medicare on his behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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 Jason Randelle Blizzard 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 Jason Randelle Blizzard, PHD 700 Mitchell Bridge Rd Apt 114, Athens, GA 30606-6416 Ph: (912) 531-4509	Dr Jason Randelle Blizzard, PHD 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000

Reviews and Comments

Psychologist in Lebanon, NH

Jesse White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Hanover St, Suite 2, Lebanon, NH 03766 Phone: 603-448-0126
Joseph Peter Saginor, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 W Park St, Suite 209, Lebanon, NH 03766 Phone: 603-448-1553 Fax: 603-675-5110
Dr. Michael W Mills, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 766, Lebanon, NH 03766 Phone: 603-667-8632
Katrina Stephanie Hacker, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7075
Dr. Stephen T Cole, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dartmouth Hitchcock - Psychology, Lebanon, NH 03756 Phone: 603-653-9146
Dr. Mark P. Mcgovern, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Mechanic St, Suite B4-1, Lebanon, NH 03766 Phone: 603-381-1160 Fax: 603-448-3976
Courtney J Stevens, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7232

Dr Jason Randelle Blizzard, PHD - Medicare Psychologist in Lebanon, NH