Dr Charley S Blunt, PSYD in Travis Afb, CA - Medicare Psychologist Provider

Dr Charley S Blunt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-5174.

Dr Charley S Blunt is licensed to practice in Alabama (license number 2240) 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 1639665177.

Contact Information

	Dr Charley S Blunt, PSYD
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-5174
	Not Available

Healthcare Provider's Profile

Full Name	Dr Charley S Blunt
Gender	Male
Speciality	Psychologist - Clinical
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639665177
Provider Enumeration Date: 07/09/2018
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0345603171
Enrollment ID: I20230828001748

Medical Identifiers

Medical identifiers for Dr Charley S Blunt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639665177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2240 (Alabama)	Primary

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 Charley S Blunt 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 Charley S Blunt, PSYD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174	Dr Charley S Blunt, PSYD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174

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Psychologist in Travis Afb, CA

Dr. Paul Douglas Hauck, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60mdg/sgohh, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Melissa Fredette, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60 Mdg/sgop, Travis Afb, CA 94535 Phone: 847-302-3537
Dr. William Anthony Satterfield, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgohh, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Frank C. Budd, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Psc 3 Box 7554, 694 A Street, Travis Afb, CA 94535 Phone: 707-423-5143
Dr. Robert Wayne Seals, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Tiffany Tajiri-white, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3750
Harifah Hendrickson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174

Dr Charley S Blunt, PSYD - Medicare Psychologist in Travis Afb, CA