Blake Andrew Embrey, - Medicare Nurse Practitioner in Coldwater, MS

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Blake Andrew Embrey, is a medicare enrolled "Nurse Practitioner" in Coldwater, Mississippi. His current practice location is 423 Central Avenue, Coldwater, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 622-7011.

Blake Andrew Embrey is licensed to practice in Mississippi (license number 902101) 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 1770007452.

Contact Information

Blake Andrew Embrey,
423 Central Avenue,
Coldwater, MS 38618
(662) 622-7011
Not Available

Map and Direction




Provider's Profile

Full NameBlake Andrew Embrey
GenderMale
SpecialityNurse Practitioner
Location423 Central Avenue, Coldwater, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770007452
  • Provider Enumeration Date: 08/03/2017
  • Last Update Date: 08/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3375899685
  • Enrollment ID: I20180628001992

Medical Identifiers

Medical identifiers for Blake Andrew Embrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770007452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 902101 (Mississippi)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. Blake Andrew Embrey allows following entities to bill medicare on his behalf.
Entity NamePravinchandra P. Patel, Md P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457527475
PECOS PAC ID: 8325117500
Enrollment ID: O20080514000023
Entity NameSardis Family Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932399276
PECOS PAC ID: 6406949312
Enrollment ID: O20110128000899

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. Blake Andrew Embrey 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 AddressPractice Location Address
Blake Andrew Embrey,
423 Central Ave,
Coldwater, MS 38618-3915

Ph: () -		Blake Andrew Embrey,
423 Central Avenue,
Coldwater, MS 38618

Ph: (662) 622-7011

Reviews and Comments


Nurse Practitioner Nurses in Coldwater, MS

Joseph Louis Omedeo Jr., NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 423 Central Ave, Coldwater, MS 38618
Phone: 662-622-7011    
Jamie Birge,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 643 W Service Dr, Coldwater, MS 38618
Phone: 662-624-4292    Fax: 662-624-4354
Kasey Maria Rowley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 431 Central Ave, Coldwater, MS 38618
Phone: 662-622-7011    
Anthony Newson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 643 W Service Dr, Coldwater, MS 38618
Phone: 662-233-5200    Fax: 662-624-4354
Natalie H Barker, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4962 Highway 305, Coldwater, MS 38618
Phone: 662-370-5067    Fax: 662-370-5076
Tara Puckett, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 423 Central Ave, Coldwater, MS 38618
Phone: 662-622-7011    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.