Blake Erin Boggess, - Medicare Nurse Practitioner in Charlotte, NC

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Blake Erin Boggess, is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. Her current practice location is 1900 Randolph Rd Ste 1010, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-1390.

Blake Erin Boggess is licensed to practice in North Carolina (license number 5014195) 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 1932572450.

Contact Information

Blake Erin Boggess,
1900 Randolph Rd Ste 1010,
Charlotte, NC 28207-1117
(704) 384-1390
(704) 384-1063

Map and Direction




Provider's Profile

Full NameBlake Erin Boggess
GenderFemale
SpecialityNurse Practitioner
Location1900 Randolph Rd Ste 1010, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932572450
  • Provider Enumeration Date: 11/05/2015
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193028215
  • Enrollment ID: I20210621002533

Medical Identifiers

Medical identifiers for Blake Erin Boggess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932572450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics SP015247 (Pennsylvania)Secondary
363LP0200XNurse Practitioner - Pediatrics 5014195 (North Carolina)Secondary
363L00000XNurse Practitioner 5014195 (North Carolina)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 Erin Boggess allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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 Erin Boggess 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 Erin Boggess,
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-1390		Blake Erin Boggess,
1900 Randolph Rd Ste 1010,
Charlotte, NC 28207-1117

Ph: (704) 384-1390

Reviews and Comments


Nurse Practitioner Nurses in Charlotte, NC

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Phone: 704-999-9857    
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Stephanie Dawn Ferlic, FNP
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Brooke Alyssa Davis, FNP
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Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207
Phone: 704-342-1900    Fax: 704-377-0353
Angela Devincent Booth, NP
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Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    

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.