Kala Blakely, DNP, NP-C in Moody, AL - Medicare Nurse Practitioner

Kala Blakely, DNP, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Moody, Alabama. Her current practice location is 2846 Moody Pkwy Ste 300, Moody, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 640-1756.

Kala Blakely is licensed to practice in Arizona (license number 221986) 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 1235428731.

Contact Information

	Kala Blakely, DNP, NP-C
	2846 Moody Pkwy Ste 300, Moody, AL 35004-3328
	(205) 640-1756
	(205) 640-1796

Map and Direction

Provider's Profile

Full Name	Kala Blakely
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2846 Moody Pkwy Ste 300, Moody, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235428731
Provider Enumeration Date: 04/05/2011
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7416125034
Enrollment ID: I20110725000763

Medical Identifiers

Medical identifiers for Kala Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235428731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1-124159 (Alabama)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN281139 (Georgia)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	ARNP9465262 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	221986 (Arizona)	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. Kala Blakely allows following entities to bill medicare on her behalf.

Entity Name	Hometown Family Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013318070 PECOS PAC ID: 1557686821 Enrollment ID: O20150207000379

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. Kala Blakely 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
Kala Blakely, DNP, NP-C 2846 Moody Pkwy, Suite 300, Moody, AL 35004-3328 Ph: (205) 640-1756	Kala Blakely, DNP, NP-C 2846 Moody Pkwy Ste 300, Moody, AL 35004-3328 Ph: (205) 640-1756

Reviews and Comments

Nurse Practitioner Nurses in Moody, AL

Mrs. Rebecca Jenkins Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Moody Pkwy, Moody, AL 35004 Phone: 205-352-2480
Lisa R Newman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Moody Parkway, Moody, AL 35004 Phone: 205-640-1100 Fax: 205-640-4189
Mrs. Karen Miranda Cardwell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Alden Glen Dr, Moody, AL 35004 Phone: 205-223-4646
Janet Alecia Cruzado, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2834 Moody Pkwy, Moody, AL 35004 Phone: 205-640-2808 Fax: 205-640-2810
Jennifer Richards Alexander, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Moody Pkwy, Moody, AL 35004 Phone: 205-352-2480
Jessica Parris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 Creel Dr, Moody, AL 35004 Phone: 256-613-0823
Kimberly Nicole Houzah, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2211 Moody Pkwy, Moody, AL 35004 Phone: 205-352-2480

Kala Blakely, DNP, NP-C - Medicare Nurse Practitioner in Moody, AL