Monica V Blakley, FNP-C in Hattiesburg, MS - Medicare Nurse Practitioner

Monica V Blakley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. Her current practice location is 605 Stadium Dr, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 450-0310.

Monica V Blakley is licensed to practice in Mississippi (license number R872218) 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 1982923942.

Contact Information

	Monica V Blakley, FNP-C
	605 Stadium Dr, Hattiesburg, MS 39401-4156
	(601) 450-0310
	(601) 450-0321

Map and Direction

Provider's Profile

Full Name	Monica V Blakley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	605 Stadium Dr, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982923942
Provider Enumeration Date: 05/28/2010
Last Update Date: 07/08/2011

Medicare PECOS Information:

PECOS PAC ID: 0446383384
Enrollment ID: I20100729000583

Medical Identifiers

Medical identifiers for Monica V Blakley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982923942	NPI	-	NPPES
12131306	Other	MS	CAQH ID
04157249	Medicaid	MS
9971504	Other	MS	AETNA PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R872218 (Mississippi)	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. Monica V Blakley allows following entities to bill medicare on her behalf.

Entity Name	Covington County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598769044 PECOS PAC ID: 4183517253 Enrollment ID: O20080722000557

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Monica V Blakley 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
Monica V Blakley, FNP-C Po Box 511, Hattiesburg, MS 39403-0511 Ph: (601) 450-0310	Monica V Blakley, FNP-C 605 Stadium Dr, Hattiesburg, MS 39401-4156 Ph: (601) 450-0310

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Monica V Blakley, FNP-C - Medicare Nurse Practitioner in Hattiesburg, MS