Dedra I Blalock, in Atlanta, GA - Medicare Nurse Practitioner

Dedra I Blalock, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Atlanta, Georgia. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Emory Clinic, Inc and her current practice location is 550 Peachtree St, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 686-7431.

Dedra I Blalock is licensed to practice in Georgia (license number RN089049NP) 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 1619063153.

Contact Information

	Dedra I Blalock,
	550 Peachtree St, Atlanta, GA 30308
	(404) 686-7431
	Not Available

Map and Direction

Physician's Profile

Full Name	Dedra I Blalock
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	550 Peachtree St, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dedra I Blalock graduated from medical school in 2003

NPI Data:

NPI Number: 1619063153
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971580549
Enrollment ID: I20040701000639

Medical Identifiers

Medical identifiers for Dedra I Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619063153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	RN089049NP (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital Midtown	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2729

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. Dedra I Blalock allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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. Dedra I Blalock 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
Dedra I Blalock, 550 Peachtree St, Atlanta, GA 30308 Ph: (404) 686-7431	Dedra I Blalock, 550 Peachtree St, Atlanta, GA 30308 Ph: (404) 686-7431

Reviews and Comments

Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290
Dr. Matthew J. Wilson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553
Kajal Patel, M.D, M.P.H Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700
Dr. Earl Stewart Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950
Mary E. Bergh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464
John J Doran, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322 Phone: 404-778-5380
Frank A Anania, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1365 Clifton Rd Ne Ste B1266, The Emory Clinic - Gastroenterology, Atlanta, GA 30322 Phone: 404-778-3184

Dedra I Blalock, - Medicare Nurse Practitioner in Atlanta, GA