Dr Tessie Blake, PSYD, LP in Detroit Lakes, MN - Medicare Psychologist Provider

Dr Tessie Blake, PSYD, LP is a medicare enrolled "Psychologist" provider in Detroit Lakes, Minnesota. Her current practice location is 1104 W River Rd, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 844-6853.

Dr Tessie Blake is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104183326.

Contact Information

	Dr Tessie Blake, PSYD, LP
	1104 W River Rd, Detroit Lakes, MN 56501-2723
	(218) 844-6853
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tessie Blake
Gender	Female
Speciality	Psychologist
Location	1104 W River Rd, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104183326
Provider Enumeration Date: 04/12/2012
Last Update Date: 02/22/2016

Medicare PECOS Information:

PECOS PAC ID: 5991928244
Enrollment ID: I20140514001292

Medical Identifiers

Medical identifiers for Dr Tessie Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104183326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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 Tessie Blake allows following entities to bill medicare on her behalf.

Entity Name	Solutions Behavioral Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801909239 PECOS PAC ID: 0345209524 Enrollment ID: O20060125000959

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 Tessie Blake 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 Tessie Blake, PSYD, LP 1104 W River Rd, Detroit Lakes, MN 56501-2723 Ph: (218) 844-6853	Dr Tessie Blake, PSYD, LP 1104 W River Rd, Detroit Lakes, MN 56501-2723 Ph: (218) 844-6853

Reviews and Comments

Psychologist in Detroit Lakes, MN

Brian J Gatheridge, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244
Dr. Elizabeth Evenson, PSY.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444
Dr. Shirley J Rader, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350

Dr Tessie Blake, PSYD, LP - Medicare Psychologist in Detroit Lakes, MN