Neil Allen Blevins, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Family" physician in Urbana, Illinois. His current practice location is
611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 383-3129.
Neil Allen Blevins is licensed to practice in Illinois (license number 209029900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306689096.
Physician's Profile
| Full Name | Neil Allen Blevins |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 611 W Park St, Urbana, Illinois |
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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: 1306689096
- Provider Enumeration Date: 06/18/2024
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729526538
- Enrollment ID: I20240812002055
Medical Identifiers
Medical identifiers for Neil Allen Blevins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306689096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 209-029900 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209029900 (Illinois) | 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. Neil Allen Blevins allows following entities to bill medicare on his behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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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. Neil Allen Blevins 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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Neil Allen Blevins, ACNPC-AG
611 W Park St, Fapc,
Urbana, IL 61801-2500
Ph: () - | Neil Allen Blevins, ACNPC-AG
611 W Park St,
Urbana, IL 61801-2501
Ph: (217) 383-3129 |
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