Dr Pavel S Blagov, PHD in Walla Walla, WA - Medicare Psychologist Provider

Dr Pavel S Blagov, PHD is a medicare enrolled "Psychologist - Clinical" provider in Walla Walla, Washington. His current practice location is 409 E Sumach St, Ste 3, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 876-1793.

Dr Pavel S Blagov is licensed to practice in Washington (license number PY60236271) 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 1346515541.

Contact Information

	Dr Pavel S Blagov, PHD
	409 E Sumach St, Ste 3, Walla Walla, WA 99362-1202
	(509) 876-1793
	(877) 991-1631

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Pavel S Blagov
Gender	Male
Speciality	Psychologist - Clinical
Location	409 E Sumach St, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346515541
Provider Enumeration Date: 03/20/2012
Last Update Date: 09/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7911154356
Enrollment ID: I20120820001184

Medical Identifiers

Medical identifiers for Dr Pavel S Blagov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346515541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY60236271 (Washington)	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 Pavel S Blagov allows following entities to bill medicare on his behalf.

Entity Name	Insight Psychology, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558863993 PECOS PAC ID: 0143585018 Enrollment ID: O20180523002203

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 Pavel S Blagov 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 Pavel S Blagov, PHD 885 Hedine Rd, Walla Walla, WA 99362-8716 Ph: (509) 876-1793	Dr Pavel S Blagov, PHD 409 E Sumach St, Ste 3, Walla Walla, WA 99362-1202 Ph: (509) 876-1793

Reviews and Comments

Psychologist in Walla Walla, WA

John D. Hughes, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 73 S Palouse St, Walla Walla, WA 99362 Phone: 509-876-1477
Dr. Emily Anne Skoblar Rea, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592
Dr. Kristen J. Hill, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200
H Stanton Thatcher, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1427 E Isaacs Ave, Walla Walla, WA 99362 Phone: 509-522-5456 Fax: 509-522-5456
Richard N Jacks, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 N Division St, Walla Walla, WA 99362 Phone: 509-529-5377 Fax: 509-527-4904
Dr. Lara Ann Riley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 709 N Main St, Walla Walla, WA 99362 Phone: 509-876-2736 Fax: 509-876-2736

Dr Pavel S Blagov, PHD - Medicare Psychologist in Walla Walla, WA