Jo Susan Offutt-blackaby, MSN, PMHNP - Medicare Nurse Practitioner in Greenbrier, TN

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Jo Susan Offutt-blackaby, MSN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greenbrier, Tennessee. Her current practice location is 2006 Maggie Ct, Greenbrier, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 620-0998.

Jo Susan Offutt-blackaby is licensed to practice in Tennessee (license number 19574) 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 1689063760.

Contact Information

Jo Susan Offutt-blackaby, MSN, PMHNP
2006 Maggie Ct,
Greenbrier, TN 37073-0500
(615) 620-0998
Not Available

Map and Direction




Provider's Profile

Full NameJo Susan Offutt-blackaby
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2006 Maggie Ct, Greenbrier, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689063760
  • Provider Enumeration Date: 01/13/2015
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345568499
  • Enrollment ID: I20150421001957

Medical Identifiers

Medical identifiers for Jo Susan Offutt-blackaby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689063760NPI-NPPES
3335OtherSCMEDICARE
421504MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 25460 (South Carolina)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 19574 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 19574 (Tennessee)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. Jo Susan Offutt-blackaby allows following entities to bill medicare on her behalf.
Entity NameEvelyn M Frye Clinical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578514923
PECOS PAC ID: 9739131780
Enrollment ID: O20060110000310

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. Jo Susan Offutt-blackaby 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 AddressPractice Location Address
Jo Susan Offutt-blackaby, MSN, PMHNP
2006 Maggie Ct,
Greenbrier, TN 37073-0500

Ph: (615) 970-9467		Jo Susan Offutt-blackaby, MSN, PMHNP
2006 Maggie Ct,
Greenbrier, TN 37073-0500

Ph: (615) 620-0998

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.