Jennifer Lynn Blacksmith, PHD in Kirksville, MO - Medicare Psychologist Provider

Jennifer Lynn Blacksmith, PHD is a medicare enrolled "Psychologist" provider in Kirksville, Missouri. Her current practice location is 402 W Jefferson St, Kirksville, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 627-2229.

Jennifer Lynn Blacksmith is licensed to practice in Missouri (license number 2017010148) 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 1114390598.

Contact Information

	Jennifer Lynn Blacksmith, PHD
	402 W Jefferson St, Kirksville, MO 63501-3407
	(660) 627-2229
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Lynn Blacksmith
Gender	Female
Speciality	Psychologist
Location	402 W Jefferson St, Kirksville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114390598
Provider Enumeration Date: 11/05/2015
Last Update Date: 05/10/2017

Medicare PECOS Information:

PECOS PAC ID: 8527365501
Enrollment ID: I20170816000264

Medical Identifiers

Medical identifiers for Jennifer Lynn Blacksmith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114390598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	073513 (Iowa)	Secondary
103T00000X	Psychologist	2017010148 (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. Jennifer Lynn Blacksmith allows following entities to bill medicare on her behalf.

Entity Name	Northeast Missouri Health Council Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104829498 PECOS PAC ID: 1658280805 Enrollment ID: O20040112000061

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. Jennifer Lynn Blacksmith 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
Jennifer Lynn Blacksmith, PHD 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 627-2229	Jennifer Lynn Blacksmith, PHD 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 627-2229

Reviews and Comments

Psychologist in Kirksville, MO

Dr. Christopher John Maglio, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 E Washington St, Kirksville, MO 63501 Phone: 660-665-7805 Fax: 660-665-0309
Dr. Kristin Nicole Henke, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 100 E. Normal Street, Mckinney Building, Kirksville, MO 63501 Phone: 660-785-4182 Fax: 660-785-4011
Dr. Elizabeth E. Kraemer, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 N Elson St, Kirksville, MO 63501 Phone: 660-665-1964
Dr. James L Tichenor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 902 E Laharpe St, Suite 106, Kirksville, MO 63501 Phone: 660-349-0378 Fax: 660-665-5086

Jennifer Lynn Blacksmith, PHD - Medicare Psychologist in Kirksville, MO