Dr Zachary Blackhurst, PHD - Medicare Psychologist in Wichita, KS

Dr Zachary Blackhurst, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wichita, Kansas. His current practice location is 1010 N Kansas St, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at (316) 293-2647.

Dr Zachary Blackhurst is licensed to practice in Kansas (license number 03046) 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 1982378527.

Contact Information

Dr Zachary Blackhurst, PHD
1010 N Kansas St,
Wichita, KS 67214-3124
(316) 293-2647
Not Available



Healthcare Provider's Profile

Full NameDr Zachary Blackhurst
GenderMale
SpecialityPsychologist - Clinical
Location1010 N Kansas St, Wichita, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982378527
  • Provider Enumeration Date: 08/06/2021
  • Last Update Date: 04/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062818214
  • Enrollment ID: I20210914000379

Medical Identifiers

Medical identifiers for Dr Zachary Blackhurst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982378527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2954 (Kansas)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 03046 (Kansas)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. Dr Zachary Blackhurst allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Kansas School Of Medicine Wichita Medical Practice Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639143712
PECOS PAC ID: 3577464841
Enrollment ID: O20040119000674

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Entity NameWesley Physicians Medical Specialties Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699069732
PECOS PAC ID: 1355509886
Enrollment ID: O20120229000737

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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 Zachary Blackhurst 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
Dr Zachary Blackhurst, PHD
1010 N Kansas St,
Wichita, KS 67214-3124

Ph: () -
Dr Zachary Blackhurst, PHD
1010 N Kansas St,
Wichita, KS 67214-3124

Ph: (316) 293-2647

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› Verified 5 days ago


Psychologist in Wichita, KS

Dr. Christina S Whitley, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5500 E Kellogg Dr, Bldg. 5 - Bh, Wichita, KS 67218
Phone: 316-641-8656    
Dr. Jeremy Paul Crosby, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 650 N Carriage Pkwy Ste 125, Wichita, KS 67208
Phone: 316-358-9104    
Eileen Murry, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1919 N Amidon Ave, Ste. 130, Wichita, KS 67203
Phone: 316-660-7675    Fax: 316-660-7510
Trever L Patton, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7807 E Funston St, Wichita, KS 67207
Phone: 316-636-1188    Fax: 316-636-1190
David Kirk Miller, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 833 N Waco, Suite 200, Wichita, KS 67203
Phone: 316-263-2351    Fax: 316-263-3685
Dr. Joseph R Hertzler, PSY.D.,LP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 5500 E Kellogg Dr, Robt. J. Dole Vam & Roc (bh), Wichita, KS 67218
Phone: 316-651-3621    Fax: 316-634-3091
Mr. Michael Leahy, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 7829 E Rockhill St, Suite 101, Wichita, KS 67206
Phone: 316-686-5195    Fax: 316-686-8714

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