Audrey Blaine, FNP in Chula Vista, CA - Medicare Nurse Practitioner

Audrey Blaine, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chula Vista, California. Her current practice location is 751 Medical Center Ct, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 502-5800.

Audrey Blaine is licensed to practice in California (license number 21933) 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 1629311964.

Contact Information

	Audrey Blaine, FNP
	751 Medical Center Ct, Chula Vista, CA 91911-6617
	(619) 502-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Audrey Blaine
Gender	Female
Speciality	Nurse Practitioner - Family
Location	751 Medical Center Ct, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629311964
Provider Enumeration Date: 04/05/2013
Last Update Date: 09/04/2021

Medicare PECOS Information:

PECOS PAC ID: 6002132735
Enrollment ID: I20150224000572

Medical Identifiers

Medical identifiers for Audrey Blaine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629311964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21933 (California)	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. Audrey Blaine allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Audrey Blaine 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
Audrey Blaine, FNP 1535 Northrim Ct Unit 258, San Diego, CA 92111-7338 Ph: () -	Audrey Blaine, FNP 751 Medical Center Ct, Chula Vista, CA 91911-6617 Ph: (619) 502-5800

Reviews and Comments

Nurse Practitioner Nurses in Chula Vista, CA

Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701
Allison Marie Davies-uppal, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914 Phone: 858-335-0682
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660

Audrey Blaine, FNP - Medicare Nurse Practitioner in Chula Vista, CA