Heather Janelle Blagg, CNP is a medicare enrolled "Nurse Practitioner - Family" in Clayton, Oklahoma. Her current practice location is
1020 N Lawson Blvd, Clayton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 917-9999.
Heather Janelle Blagg is licensed to practice in Oklahoma (license number 214759) 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 1073296604.
Provider's Profile
| Full Name | Heather Janelle Blagg |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1020 N Lawson Blvd, Clayton, Oklahoma |
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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: 1073296604
- Provider Enumeration Date: 08/10/2023
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072960442
- Enrollment ID: I20231106003494
Medical Identifiers
Medical identifiers for Heather Janelle Blagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073296604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 214759 (Oklahoma) | 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. Heather Janelle Blagg allows following entities to bill medicare on her behalf.
| Entity Name | Pushmataha Family Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891882676
PECOS PAC ID: 9537189261
Enrollment ID: O20081114000464 |
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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. Heather Janelle Blagg 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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Heather Janelle Blagg, CNP
Po Box 219,
Clayton, OK 74536-0219
Ph: (918) 917-9999 | Heather Janelle Blagg, CNP
1020 N Lawson Blvd,
Clayton, OK 74536
Ph: (918) 917-9999 |
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