| Mrs Amy M White Blakesley, PSYD | |
|
402 S Kansas, Chanute, KS 66720 | |
| (620) 431-7890 | |
| (620) 431-7927 |
| Full Name | Mrs Amy M White Blakesley |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 25 Years |
| Location | 402 S Kansas, Chanute, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588716963 | NPI | - | NPPES |
| 119749 | Other | KS | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP11450 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Kansas Mental Health Center | 3870562879 | 38 |
| Entity Name | Southeast Kansas Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467414771 PECOS PAC ID: 3870562879 Enrollment ID: O20040927001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy M White Blakesley, PSYD 402 S Kansas, Chanute, KS 66720 Ph: (620) 431-7890 | Mrs Amy M White Blakesley, PSYD 402 S Kansas, Chanute, KS 66720 Ph: (620) 431-7890 |
Doug E Wright, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 402 South Kansas, Chanute, KS 66720 Phone: 620-431-7890 Fax: 620-431-7927 | |
Dr. Charles Anthony Krall, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 426 W 14th St, Chanute, KS 66720 Phone: 620-423-0033 | |
Shawna D Wright, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 402 South Kansas, Chanute, KS 66720 Phone: 620-431-7890 Fax: 620-431-7927 | |
Mea Delatorre, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1322 S Grant Ave, Chanute, KS 66720 Phone: 620-431-7890 | |
Dawn D Ready, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402 South Kansas, Chanute, KS 66748 Phone: 620-431-7890 Fax: 620-431-7927 |