Tegan Blackbird, PH D - Medicare Psychologist in Manheim, PA

Tegan Blackbird, PH D is a medicare enrolled "Psychologist - Clinical" provider in Manheim, Pennsylvania. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 108 S Main St, Manheim, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 964-8897.

Tegan Blackbird is licensed to practice in Pennsylvania (license number PS004895L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841211026.

Contact Information

Tegan Blackbird, PH D
108 S Main St,
Manheim, PA 17545-1602
(717) 964-8897
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTegan Blackbird
GenderMale
SpecialityClinical Psychologist
Experience39 Years
Location108 S Main St, Manheim, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tegan Blackbird graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1841211026
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042226029
  • Enrollment ID: I20060301000319

Medical Identifiers

Medical identifiers for Tegan Blackbird such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841211026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS004895L (Pennsylvania)Primary
103T00000XPsychologist PS004895L (Pennsylvania)Secondary

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. Tegan Blackbird allows following entities to bill medicare on his behalf.
Entity NameJourney Therapy, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477164895
PECOS PAC ID: 6002233897
Enrollment ID: O20200825001536

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. Tegan Blackbird 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 AddressPractice Location Address
Tegan Blackbird, PH D
40 Pheasant Ct,
Elizabethtown, PA 17022-9206

Ph: (717) 964-8897
Tegan Blackbird, PH D
108 S Main St,
Manheim, PA 17545-1602

Ph: (717) 964-8897

Reviews and Comments


Psychologist in Manheim, PA

Dr. John R Guetter, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2023 Town Sq N, Manheim, PA 17545
Phone: 717-665-2674    Fax: 717-560-2117
Patricia A Gready, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 108 S Main St, Manheim, PA 17545
Phone: 717-665-2675    Fax: 717-665-6193
Dr. Kevin Paul Newgren, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 108 S Main St, Manheim, PA 17545
Phone: 717-665-2675    Fax: 717-665-6193
Douglas L Friesen, PHD
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 108 S Main St, Manheim, PA 17545
Phone: 717-665-2675    Fax: 717-665-6193

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.