Mary Michelle Youngblood, FNP - Medicare Nurse Practitioner in Cleveland, TN

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Mary Michelle Youngblood, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Cleveland, Tennessee. Her current practice location is 2085 Brentwood Trl Sw, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 284-9390.

Mary Michelle Youngblood is licensed to practice in Tennessee (license number 29529) 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 1063086452.

Contact Information

Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306
(423) 284-9390
Not Available

Map and Direction




Provider's Profile

Full NameMary Michelle Youngblood
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location2085 Brentwood Trl Sw, Cleveland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063086452
  • Provider Enumeration Date: 05/19/2021
  • Last Update Date: 05/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628450525
  • Enrollment ID: I20220808003407

Medical Identifiers

Medical identifiers for Mary Michelle Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063086452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 29529 (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. Mary Michelle Youngblood allows following entities to bill medicare on her behalf.
Entity NameTennessee Oncology,pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811955917
PECOS PAC ID: 4688586134
Enrollment ID: O20031103000534

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. Mary Michelle Youngblood 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
Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306

Ph: (423) 284-9390		Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306

Ph: (423) 284-9390

Reviews and Comments


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Robert Breck Lang, FNP
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Phone: 423-790-7662    Fax: 423-790-7664

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.