| Dr Richard Chadwick Blackford, PHD | |
|
1444 W 38th St, Erie, PA 16508-2346 | |
| (814) 835-7043 | |
| (814) 838-2925 |
| Full Name | Dr Richard Chadwick Blackford |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 36 Years |
| Location | 1444 W 38th St, Erie, Pennsylvania |
| 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 |
|---|---|---|---|
| 1053318360 | NPI | - | NPPES |
| 001560510 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-006224-L (Pennsylvania) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY-11983 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard C. Blackford, Ph.d. P.c. | 9234449976 | 3 |
| Entity Name | Richard C. Blackford, Ph.d. P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144615600 PECOS PAC ID: 9234449976 Enrollment ID: O20151109000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Chadwick Blackford, PHD 1444 W 38th St, Erie, PA 16508-2346 Ph: (814) 835-7043 | Dr Richard Chadwick Blackford, PHD 1444 W 38th St, Erie, PA 16508-2346 Ph: (814) 835-7043 |
Richard Allen Giacomelli, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2820 W 21st St, Suite 5, Erie, PA 16506 Phone: 814-882-7650 | |
Michael Forrest Skarlinski, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 Buffalo Rd, Erie, PA 16510 Phone: 814-881-4404 | |
Mrs. Claire Donch, LCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 West 10th Street, Erie, PA 16502 Phone: 814-455-4009 Fax: 814-455-7715 | |
Susan Troutner, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 E 2nd St, Third Floor, Erie, PA 16507 Phone: 814-877-8013 Fax: 814-877-8007 | |
Susan A Moore-motily, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3939 W Ridge Rd, Ste A210, Erie, PA 16506 Phone: 814-838-9155 Fax: 814-838-9097 | |
Anthony Gerard Bostaph, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4402 Peach St, Lower Level/ North, Erie, PA 16509 Phone: 814-868-0141 Fax: 814-868-0142 |