Amanda R Blalock, NP in Tyler, TX - Medicare Nurse Practitioner

Amanda R Blalock, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tyler, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Andrews Center and her current practice location is 1800 Shiloh Rd Ste 104, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 969-5125.

Amanda R Blalock is licensed to practice in Texas (license number AP144205) 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 1740681279.

Contact Information

	Amanda R Blalock, NP
	1800 Shiloh Rd Ste 104, Tyler, TX 75703-2456
	(903) 969-5125
	(207) 536-2445

Map and Direction

Provider's Profile

Full Name	Amanda R Blalock
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1800 Shiloh Rd Ste 104, Tyler, Texas
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:

Amanda R Blalock graduated from nursing school in 2019

NPI Data:

NPI Number: 1740681279
Provider Enumeration Date: 09/16/2014
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4789011164
Enrollment ID: I20200225000294

Medical Identifiers

Medical identifiers for Amanda R Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740681279	NPI	-	NPPES
407984001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP144205 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Andrews Center	9739170770	9

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. Amanda R Blalock allows following entities to bill medicare on her behalf.

Entity Name	Andrews Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821064742 PECOS PAC ID: 9739170770 Enrollment ID: O20040519001179

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. Amanda R 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
Amanda R Blalock, NP 1800 Shiloh Rd Ste 104, Tyler, TX 75703-2456 Ph: (903) 969-5125	Amanda R Blalock, NP 1800 Shiloh Rd Ste 104, Tyler, TX 75703-2456 Ph: (903) 969-5125

Reviews and Comments

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Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Amanda R Blalock, NP - Medicare Nurse Practitioner in Tyler, TX