Brooke Maclean Blum, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Avondale Estates, Georgia. Her current practice location is
3442 Kensington Parc Cir, Avondale Estates, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 787-6526.
Brooke Maclean Blum is licensed to practice in Georgia (license number RN230977) 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 1629668736.
Provider's Profile
| Full Name | Brooke Maclean Blum |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Neonatal |
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| Location | 3442 Kensington Parc Cir, Avondale Estates, Georgia |
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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: 1629668736
- Provider Enumeration Date: 01/22/2021
- Last Update Date: 03/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214305283
- Enrollment ID: I20221122003034
Medical Identifiers
Medical identifiers for Brooke Maclean Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629668736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LN0000X | Nurse Practitioner - Neonatal | RN230977 (Georgia) | 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. Brooke Maclean Blum allows following entities to bill medicare on her behalf.
| Entity Name | Emory Medical Care Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968 |
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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. Brooke Maclean Blum 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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Brooke Maclean Blum, NNP
3442 Kensington Parc Cir,
Avondale Estates, GA 30002-1779
Ph: (678) 787-6526 | Brooke Maclean Blum, NNP
3442 Kensington Parc Cir,
Avondale Estates, GA 30002-1779
Ph: (678) 787-6526 |
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