Andrea Nicole Bloodworth, APN, BSN, RN is a medicare enrolled "Nurse Practitioner" physician in Springfield, Illinois. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prairie Cardiovascular Consultants Ltd and her current practice location is
619 E Mason St Ste 4p57, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 788-0706.
Andrea Nicole Bloodworth is licensed to practice in Illinois (license number 209016698) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588187397.
Physician's Profile
| Full Name | Andrea Nicole Bloodworth |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 619 E Mason St Ste 4p57, Springfield, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrea Nicole Bloodworth graduated from medical school in 2017
NPI Data:
- NPI Number: 1588187397
- Provider Enumeration Date: 07/24/2017
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062778368
- Enrollment ID: I20171101003099
Medical Identifiers
Medical identifiers for Andrea Nicole Bloodworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588187397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0011X | Internal Medicine - Interventional Cardiology | 209016698 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209016698 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prairie Cardiovascular Consultants Ltd | 3173435880 | 85 |
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. Andrea Nicole Bloodworth allows following entities to bill medicare on her behalf.
| Entity Name | Prairie Cardiovascular Consultants Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090 |
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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. Andrea Nicole Bloodworth 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 |
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Andrea Nicole Bloodworth, APN, BSN, RN
619 E Mason St Ste 4p57,
Springfield, IL 62701-1034
Ph: (217) 788-0706 | Andrea Nicole Bloodworth, APN, BSN, RN
619 E Mason St Ste 4p57,
Springfield, IL 62701
Ph: (217) 788-0706 |
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