TEGAN BLACKBIRD PH D - NPI 1841211026 - Psychologist in Manheim, PA

Q: What is Tegan Blackbird's NPI number?

The NPI number for Tegan Blackbird is 1841211026. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Tegan Blackbird's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tegan Blackbird was last updated on August 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tegan Blackbird Ph D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEGAN BLACKBIRD PH D (NPI 1841211026) is an individual clinical provider in Manheim, Pennsylvania, licensed in Pennsylvania (PS004895L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1841211026

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTEGAN BLACKBIRDCredential: PH D

Location Address108 S MAIN STManheim, PA 17545-1602

Mailing Address40 Pheasant CtElizabethtown, PA 17022-9206 · (717) 964-8897

Phone(717) 964-8897

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 22, 2006

Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration

NPPES CertifiedAugust 10, 2020

✔ NPI 1841211026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS004895L

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PS004895L (PA)

108 S MAIN ST, Manheim, PA 17545

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tegan Blackbird Ph D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42226029

PECOS Enrollment IDI20060301000319

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN FULMER LPC

Counselor (Professional)