Michael E Blea, is a medicare enrolled "Social Worker - Clinical" provider in Johnsburg, Illinois. His current practice location is
4210 Ella Ln, Johnsburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 995-0306.
Michael E Blea is licensed to practice in Illinois (license number 150-106771) 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 1457030165.
Healthcare Provider's Profile
Full Name | Michael E Blea |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4210 Ella Ln, Johnsburg, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457030165
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244672194
- Enrollment ID: I20240523003490
Medical Identifiers
Medical identifiers for Michael E Blea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457030165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 150-106771 (Illinois) | 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. Michael E Blea allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
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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. Michael E Blea 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 |
Michael E Blea, 4210 Ella Ln, Johnsburg, IL 60051-5433 Ph: (815) 995-0306 | Michael E Blea, 4210 Ella Ln, Johnsburg, IL 60051-5433 Ph: (815) 995-0306 |
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