Dr Mark Daniel Blackhurst, PSYD in Fresno, CA - Medicare Psychologist Provider

Dr Mark Daniel Blackhurst, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fresno, California. His current practice location is 3034 E Herndon Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 321-0883.

Dr Mark Daniel Blackhurst is licensed to practice in California (license number PSY28115) 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 1760770192.

Contact Information

	Dr Mark Daniel Blackhurst, PSYD
	3034 E Herndon Ave, Fresno, CA 93720-0300
	(559) 321-0883
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Daniel Blackhurst
Gender	Male
Speciality	Psychologist - Clinical
Location	3034 E Herndon Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760770192
Provider Enumeration Date: 07/19/2011
Last Update Date: 05/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9739610114
Enrollment ID: I20241009003408

Medical Identifiers

Medical identifiers for Dr Mark Daniel Blackhurst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760770192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY28115 (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. Dr Mark Daniel Blackhurst allows following entities to bill medicare on his behalf.

Entity Name	Access Psychology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558752931 PECOS PAC ID: 6204155187 Enrollment ID: O20150427000807

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 Mark Daniel Blackhurst 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 Mark Daniel Blackhurst, PSYD 21633 Avenue 24, Chowchilla, CA 93610-9650 Ph: (559) 665-6100	Dr Mark Daniel Blackhurst, PSYD 3034 E Herndon Ave, Fresno, CA 93720-0300 Ph: (559) 321-0883

Reviews and Comments

Psychologist in Fresno, CA

Jennifer Bopp Litz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 N Hughes Ave, Fresno, CA 93728 Phone: 559-497-3986
Smadar Aviv, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7131 N 11th St Ste 104, Fresno, CA 93720 Phone: 559-435-0800 Fax: 559-435-7720
Dr. Gaines A Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5100 N 6th St, Suite 130, Fresno, CA 93710 Phone: 559-435-8700 Fax: 559-435-8700
Dr. Denise Dadian Sniffin, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6777n Willow Ave, Fresno, CA 93710 Phone: 559-440-1004 Fax: 559-298-1020
Dr. Mitchel Cory Casados, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4862 E Clinton Ave, Fresno, CA 93703 Phone: 559-252-2450
Gevork Mkrtchyan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3732 E Thomas Ave, Fresno, CA 93702 Phone: 559-558-6268
Dr. Adrian Louis Della Porta, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4441 E Kings Canyon Rd, Fresno, CA 93702 Phone: 559-253-9131 Fax: 559-253-9049

Dr Mark Daniel Blackhurst, PSYD - Medicare Psychologist in Fresno, CA