Jessica Martins Blaquera, PSYD in Pleasanton, CA - Medicare Psychologist Provider

Jessica Martins Blaquera, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Pleasanton, California. Her current practice location is 5776 Stoneridge Mall Rd, Suite 340, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (925) 223-8047.

Jessica Martins Blaquera is licensed to practice in California (license number PSY30504) 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 1992186514.

Contact Information

	Jessica Martins Blaquera, PSYD
	5776 Stoneridge Mall Rd, Suite 340, Pleasanton, CA 94588-2832
	(925) 223-8047
	(925) 223-8048

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Martins Blaquera
Gender	Female
Speciality	Psychologist - Clinical
Location	5776 Stoneridge Mall Rd, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992186514
Provider Enumeration Date: 06/10/2015
Last Update Date: 12/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6002157906
Enrollment ID: I20190402001690

Medical Identifiers

Medical identifiers for Jessica Martins Blaquera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992186514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(California)	Secondary
103TC0700X	Psychologist - Clinical	PSY30504 (California)	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. Jessica Martins Blaquera allows following entities to bill medicare on her behalf.

Entity Name	Portia Bell Hume Behavioral Health And Training Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760489439 PECOS PAC ID: 0547251688 Enrollment ID: O20040519000374

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. Jessica Martins Blaquera 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
Jessica Martins Blaquera, PSYD 5776 Stoneridge Mall Rd, Suite 340, Pleasanton, CA 94588-2832 Ph: (925) 223-8047	Jessica Martins Blaquera, PSYD 5776 Stoneridge Mall Rd, Suite 340, Pleasanton, CA 94588-2832 Ph: (925) 223-8047

Reviews and Comments

Psychologist in Pleasanton, CA

Ms. Valerie Lee Gannon, MFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91 W Neal St, Pleasanton, CA 94566 Phone: 925-890-6764
Dr. Elizabeth Fox Butler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4713 1st St, Ste 254, Pleasanton, CA 94566 Phone: 925-421-6868 Fax: 925-462-0545
Dr. Vida Wong, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5674 Stoneridge Dr Ste 218, Pleasanton, CA 94588 Phone: 925-307-6563
Dr. Sara Marie Sanders, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588 Phone: 925-216-5651
Shanequia Shannon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5776 Stoneridge Mall Rd Ste 340, Pleasanton, CA 94588 Phone: 925-223-8047
Dr. Jacqueline Golding, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Santa Rita Rd, Suite K, Pleasanton, CA 94566 Phone: 925-484-2237 Fax: 925-484-1879
Mr. Mark Dennis Denbroeder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5776 Stoneridge Mall Road, Suite 140, Pleasanton, CA 94588 Phone: 925-734-8772 Fax: 925-467-1497

Jessica Martins Blaquera, PSYD - Medicare Psychologist in Pleasanton, CA