| Dr Matthew Thomas Blakeley, PSYD | |
|
8495 Crater Lake Hwy, White City, OR 97503-3011 | |
| (541) 826-2111 | |
| Not Available |
| Full Name | Dr Matthew Thomas Blakeley |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 17 Years |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457659948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2009010489 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rogue Psych Consultants Llc | 1850632415 | 18 |
| Entity Name | Rogue Psych Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Thomas Blakeley, PSYD 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 | Dr Matthew Thomas Blakeley, PSYD 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 |
Anne Marie Fischer Guzman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Erin Kathleen Anderson Fortier, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Terry J Brenner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Theodore Zigelnik Stewart-franzen, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Hannah Elizabeth Casares, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Je T'aime Hood, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Benjamin Lee Giesbrecht, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 |