Bonnie Rose Bury-blattman, LPC - Medicare Counselor in Tyler, TX

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Bonnie Rose Bury-blattman, LPC is a medicare enrolled "Counselor - Professional" provider in Tyler, Texas. Her current practice location is 2323 W Front St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 597-1351.

Bonnie Rose Bury-blattman is licensed to practice in Texas (license number 80342) 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 1669937041.

Contact Information

Bonnie Rose Bury-blattman, LPC
2323 W Front St,
Tyler, TX 75702-7747
(903) 597-1351
(903) 535-7384

Map and Direction


Healthcare Provider's Profile

Full NameBonnie Rose Bury-blattman
GenderFemale
SpecialityCounselor - Professional
Location2323 W Front St, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669937041
  • Provider Enumeration Date: 02/09/2019
  • Last Update Date: 09/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486003126
  • Enrollment ID: I20231207000238

Medical Identifiers

Medical identifiers for Bonnie Rose Bury-blattman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669937041NPI-NPPES
396545103MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 11745 (Texas)Secondary
101YP2500XCounselor - Professional 80342 (Texas)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. Bonnie Rose Bury-blattman allows following entities to bill medicare on her behalf.
Entity NameAndrews Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821064742
PECOS PAC ID: 9739170770
Enrollment ID: O20040519001179
Entity NameThrive Counseling And Life Coaching, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720744212
PECOS PAC ID: 2769833078
Enrollment ID: O20240111001846

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. Bonnie Rose Bury-blattman 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
Bonnie Rose Bury-blattman, LPC
3400 Nne Loop 323 Trlr 34,
Tyler, TX 75708-5607

Ph: (903) 714-1374		Bonnie Rose Bury-blattman, LPC
2323 W Front St,
Tyler, TX 75702-7747

Ph: (903) 597-1351

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.