Dr Matthew Thomas Blakeley, PSYD in White City, OR

Dr Matthew Thomas Blakeley, PSYD is a medicare enrolled "Psychologist - Clinical" provider in White City, Oregon. His current practice location is 8495 Crater Lake Hwy, White City, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 826-2111.

Dr Matthew Thomas Blakeley is licensed to practice in Missouri (license number 2009010489) 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 1457659948.

Contact Information

	Dr Matthew Thomas Blakeley, PSYD
	8495 Crater Lake Hwy, White City, OR 97503-3011
	(541) 826-2111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew Thomas Blakeley
Gender	Male
Speciality	Psychologist - Clinical
Location	8495 Crater Lake Hwy, White City, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457659948
Provider Enumeration Date: 03/07/2011
Last Update Date: 03/07/2011

Medicare PECOS Information:

PECOS PAC ID: 2860868585
Enrollment ID: I20221021000506

Medical Identifiers

Medical identifiers for Dr Matthew Thomas Blakeley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457659948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2009010489 (Missouri)	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 Matthew Thomas Blakeley allows following entities to bill medicare on his behalf.

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

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 Matthew Thomas Blakeley 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 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

Reviews and Comments

Psychologist in White City, OR

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
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

Dr Matthew Thomas Blakeley, PSYD - Medicare Psychologist in White City, OR