Leisha Monette Blaylock, FNP-C in Bridgeport, TX

Leisha Monette Blaylock, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Texas. Her current practice location is 2202 Us Highway 380, Suite 112, Bridgeport, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 683-2338.

Leisha Monette Blaylock is licensed to practice in Texas (license number AP126686) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083018063.

Contact Information

	Leisha Monette Blaylock, FNP-C
	2202 Us Highway 380, Suite 112, Bridgeport, TX 76426-2176
	(940) 683-2338
	(940) 683-2394

Map and Direction

Provider's Profile

Full Name	Leisha Monette Blaylock
Gender	Female
Speciality
Experience	Years
Location	2202 Us Highway 380, Bridgeport, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leisha Monette Blaylock attended and graduated from in

NPI Data:

NPI Number: 1083018063
Provider Enumeration Date: 10/20/2014
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Leisha Monette Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083018063	NPI	-	NPPES
8397NM	Other	TX	BCBS
342225501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126686 (Texas)	Primary

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. Leisha Monette Blaylock 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
Leisha Monette Blaylock, FNP-C Po Box 2078, Decatur, TX 76234 Ph: (940) 683-2338	Leisha Monette Blaylock, FNP-C 2202 Us Highway 380, Suite 112, Bridgeport, TX 76426-2176 Ph: (940) 683-2338

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, TX

Whitney Victoria Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2202 Us Highway 380, Suite #112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394
Kaye Puckett, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394
Ashley Jendusa, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1306 13th St, Bridgeport, TX 76426 Phone: 940-255-6552
Mr. Alexander Lee Pendergrass, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 817-966-2960

Leisha Monette Blaylock, FNP-C - Medicare in Bridgeport, TX