Laura Blankschaen, is a medicare enrolled "Pediatrics - Medical Toxicology" physician in Mantua, Ohio. Her current practice location is
9772 Diagonal Rd, Mantua, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 488-2635.
Laura Blankschaen is licensed to practice in Ohio (license number APRN.CNP.0031344) 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 1174204713.
Physician's Profile
| Full Name | Laura Blankschaen |
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| Gender | Female |
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| Speciality | Pediatrics - Medical Toxicology |
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| Location | 9772 Diagonal Rd, Mantua, Ohio |
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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: 1174204713
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486018272
- Enrollment ID: I20230912003568
Medical Identifiers
Medical identifiers for Laura Blankschaen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174204713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080T0002X | Pediatrics - Medical Toxicology | APRN.CNP.0031344 (Ohio) | 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. Laura Blankschaen allows following entities to bill medicare on her behalf.
| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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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. Laura Blankschaen 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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Laura Blankschaen,
9772 Diagonal Rd,
Mantua, OH 44255-9128
Ph: () - | Laura Blankschaen,
9772 Diagonal Rd,
Mantua, OH 44255-9128
Ph: (440) 488-2635 |
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