Christina L Blake, NP in Simpsonville, SC - Medicare Nurse Practitioner

Christina L Blake, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Simpsonville, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evizzit Of Iowa Psychiatry Pc, Evizzit Of Iowa Psychiatry Pc, Evizzit Of Iowa Psychiatry Pc, Evizzit Of Iowa Psychiatry Pc and her current practice location is 106 W Georgia Rd, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 662-6840.

Christina L Blake is licensed to practice in South Carolina (license number 21071) 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 1245765841.

Contact Information

	Christina L Blake, NP
	106 W Georgia Rd, Simpsonville, SC 29681-2302
	(864) 662-6840
	(864) 448-1720

Map and Direction

Provider's Profile

Full Name	Christina L Blake
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	106 W Georgia Rd, Simpsonville, South Carolina
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:

Christina L Blake graduated from nursing school in 2017

NPI Data:

NPI Number: 1245765841
Provider Enumeration Date: 04/21/2017
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2466724075
Enrollment ID: I20170816003841

Medical Identifiers

Medical identifiers for Christina L Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245765841	NPI	-	NPPES
NP4579	Medicaid	SC
SCA8307652	Other		MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	225614 (South Carolina)	Secondary
363L00000X	Nurse Practitioner	211071 (South Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	21071 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evizzit Of Iowa Psychiatry Pc	2860825924	35
Evizzit Of Iowa Psychiatry Pc	2860825924	35
Evizzit Of Iowa Psychiatry Pc	2860825924	35
Evizzit Of Iowa Psychiatry Pc	2860825924	35

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. Christina L Blake allows following entities to bill medicare on her behalf.

Entity Name	Rebound Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437593605 PECOS PAC ID: 2062656747 Enrollment ID: O20140730001701

Entity Name	Evizzit Of Iowa Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740841188 PECOS PAC ID: 2860825924 Enrollment ID: O20200630002597

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. Christina L Blake 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
Christina L Blake, NP 106 W Georgia Rd, Simpsonville, SC 29681-2302 Ph: (864) 662-6840	Christina L Blake, NP 106 W Georgia Rd, Simpsonville, SC 29681-2302 Ph: (864) 662-6840

Reviews and Comments

Nurse Practitioner Nurses in Simpsonville, SC

Calissa Leshell Brooks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 864-962-8991
Angela Michelle Stoller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 14, Simpsonville, SC 29681 Phone: 864-527-8600 Fax: 864-527-8636
Guendalina Chesney, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 Se Main St Bldg B, Simpsonville, SC 29681 Phone: 864-522-5400
Mrs. Michelle Allyn Clayton Benton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Halehaven Dr, Simpsonville, SC 29681 Phone: 864-230-0721
Candice Elaine Gilliland, FNP-CS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 35 Ray E Talley Ct, Simpsonville, SC 29680 Phone: 864-967-7028
Crystal Adodo Oramadike, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727
Dianne English, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 698 Fairview Rd, Simpsonville, SC 29680 Phone: 866-389-2727

Christina L Blake, NP - Medicare Nurse Practitioner in Simpsonville, SC