Jill Glazier Blasdell, is a medicare enrolled "Nurse Practitioner - Family" in Logandale, Nevada. Her current practice location is
1925 Whipple Ave Ste 30, Logandale, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 398-3621.
Jill Glazier Blasdell is licensed to practice in Nevada (license number 856084) 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 1295465417.
Provider's Profile
| Full Name | Jill Glazier Blasdell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1925 Whipple Ave Ste 30, Logandale, Nevada |
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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: 1295465417
- Provider Enumeration Date: 06/11/2022
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214308063
- Enrollment ID: I20230113002164
Medical Identifiers
Medical identifiers for Jill Glazier Blasdell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295465417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 856084 (Nevada) | 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. Jill Glazier Blasdell allows following entities to bill medicare on her behalf.
| Entity Name | Mesquite Clinic Management Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548800501
PECOS PAC ID: 8123456456
Enrollment ID: O20200319000698 |
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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. Jill Glazier Blasdell 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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Jill Glazier Blasdell,
1925 Whipple Ave Ste 30,
Logandale, NV 89021-9934
Ph: (702) 398-3621 | Jill Glazier Blasdell,
1925 Whipple Ave Ste 30,
Logandale, NV 89021-9934
Ph: (702) 398-3621 |
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