Mrs Courtney L Blake, FNP in Evansville, IN - Medicare Nurse Practitioner

Mrs Courtney L Blake, FNP is a medicare enrolled "Nurse Practitioner - Family" in Evansville, Indiana. Her current practice location is 520 Mary St Ste 520, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 424-8231.

Mrs Courtney L Blake is licensed to practice in Indiana (license number 71012945A) 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 1528794492.

Contact Information

	Mrs Courtney L Blake, FNP
	520 Mary St Ste 520, Evansville, IN 47710-1682
	(812) 424-8231
	(812) 435-8794

Map and Direction

Provider's Profile

Full Name	Mrs Courtney L Blake
Gender	Female
Speciality	Nurse Practitioner - Family
Location	520 Mary St Ste 520, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528794492
Provider Enumeration Date: 07/25/2022
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3870977507
Enrollment ID: I20220830002616

Medical Identifiers

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

Identifier	Type	State	Issuer
1528794492	NPI	-	NPPES
71012945C	Other	IN	CSR
300066603	Medicaid	IN
1102619435	Other	IN	ANTHEM BCBS
7100861190	Medicaid	KY
71012945A	Other	IN	IN - LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71012945A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71012945A (Indiana)	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. Mrs Courtney L Blake allows following entities to bill medicare on her behalf.

Entity Name	Evansville Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449

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. Mrs Courtney 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
Mrs Courtney L Blake, FNP 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231	Mrs Courtney L Blake, FNP 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231

Reviews and Comments

Nurse Practitioner Nurses in Evansville, IN

Kelly Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Covert Ave, Evansville, IN 47714 Phone: 812-476-9983 Fax: 812-437-6149
Megan E Mayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-492-5055 Fax: 812-402-9857
Valerie A Turpen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1750 Oak Hill Rd, Evansville, IN 47711 Phone: 812-485-2580 Fax: 812-485-2590
Melissa L Attebury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8600 University Blvd Rm Hp0091, Evansville, IN 47712 Phone: 812-465-1250 Fax: 812-465-7170
Angela L Sams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4498 1st Ave, Evansville, IN 47710 Phone: 812-436-7280 Fax: 812-436-7290
Chelsea Miles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958c S Kenmore Dr, Evansville, IN 47714 Phone: 812-477-2760
Roseanna L Parkhurst Gatewood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 202, Evansville, IN 47714 Phone: 812-485-5800

Mrs Courtney L Blake, FNP - Medicare Nurse Practitioner in Evansville, IN