Kaitlin Janann Blalock, NP is a medicare enrolled "Nurse Practitioner" physician in Dallas, Texas. Her current practice location is
7 Medical Pkwy, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 563-4146.
Kaitlin Janann Blalock is licensed to practice in Texas (license number 1006425) 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 1841870649.
Physician's Profile
| Full Name | Kaitlin Janann Blalock |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 7 Medical Pkwy, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841870649
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204219124
- Enrollment ID: I20220810001519
Medical Identifiers
Medical identifiers for Kaitlin Janann Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841870649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 1006425 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1006425 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1006425 (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. Kaitlin Janann Blalock allows following entities to bill medicare on her behalf.
| Entity Name | Foundation Pain And Spine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174151997
PECOS PAC ID: 1850722828
Enrollment ID: O20200506001763 |
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| Entity Name | Advanced Nps Of North Texas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043944952
PECOS PAC ID: 5395128219
Enrollment ID: O20220810001329 |
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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. Kaitlin Janann 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 |
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Kaitlin Janann Blalock, NP
14902 Preston Rd Ste 404-813,
Dallas, TX 75254-9105
Ph: (903) 563-4146 | Kaitlin Janann Blalock, NP
7 Medical Pkwy,
Dallas, TX 75234-7829
Ph: (903) 563-4146 |
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