Tisha Blakeley, LCSW - Medicare Clinical Social Worker in Hopkinsville, KY

Tisha Blakeley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hopkinsville, Kentucky. Her current practice location is 735 North Dr, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 886-5163.

Tisha Blakeley is licensed to practice in Kentucky (license number 5046) 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 1295157238.

Contact Information

Tisha Blakeley, LCSW
735 North Dr,
Hopkinsville, KY 42240-2620
(270) 886-5163
(270) 886-5178



Healthcare Provider's Profile

Full NameTisha Blakeley
GenderFemale
SpecialitySocial Worker - Clinical
Location735 North Dr, Hopkinsville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295157238
  • Provider Enumeration Date: 01/10/2014
  • Last Update Date: 02/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5799095873
  • Enrollment ID: I20151102000331

Medical Identifiers

Medical identifiers for Tisha Blakeley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295157238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 5046 (Kentucky)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. Tisha Blakeley allows following entities to bill medicare on her behalf.
Entity NameLifeskills, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669401816
PECOS PAC ID: 8820902638
Enrollment ID: O20031117000330

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› Verified 8 days ago

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. Tisha Blakeley 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
Tisha Blakeley, LCSW
Po Box 614,
Hopkinsville, KY 42241-0614

Ph: (270) 886-2205
Tisha Blakeley, LCSW
735 North Dr,
Hopkinsville, KY 42240-2620

Ph: (270) 886-5163

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Social Worker in Hopkinsville, KY

Ms. Rebecca A Barron, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2122 S Main St, Hopkinsville, KY 42240
Phone: 803-240-5747    
Amy Nightingale,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 735 North Dr, Hopkinsville, KY 42240
Phone: 270-886-5163    
Amber Nechole Hackney,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 737b North Dr, Hopkinsville, KY 42240
Phone: 270-881-9551    
Lee Cavender, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1705 Mosley Dr, Hopkinsville, KY 42240
Phone: 828-407-8987    
Kelley Jean Willig,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 735 North Dr, Hopkinsville, KY 42240
Phone: 270-886-5163    Fax: 270-886-5178
Jeremy Daniel Seffens,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 735 North Dr, Hopkinsville, KY 42240
Phone: 270-886-5163    Fax: 270-886-5178
Erin Knight, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 735 North Dr, Hopkinsville, KY 42240
Phone: 270-886-5163    Fax: 270-886-5178

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