Mrs Krista Bain Blaylock, NP in Kosciusko, MS

Mrs Krista Bain Blaylock, NP is a medicare enrolled "Nurse Practitioner" in Kosciusko, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Medical Group Of Mississippi Llc and her current practice location is 332 Highway 12 W, Kosciusko, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 289-1800.

Mrs Krista Bain Blaylock is licensed to practice in Mississippi (license number R863824) 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 1609178094.

Contact Information

	Mrs Krista Bain Blaylock, NP
	332 Highway 12 W, Kosciusko, MS 39090-3209
	(662) 289-1800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Krista Bain Blaylock
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	332 Highway 12 W, Kosciusko, Mississippi
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:

Mrs Krista Bain Blaylock graduated from nursing school in 2010

NPI Data:

NPI Number: 1609178094
Provider Enumeration Date: 11/17/2010
Last Update Date: 08/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9739376484
Enrollment ID: I20101208000224

Medical Identifiers

Medical identifiers for Mrs Krista Bain Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609178094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R863824 (Mississippi)	Primary
364SF0001X	Clinical Nurse Specialist - Family Health	R863824 (Mississippi)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center Attala	Kosciusko, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Medical Group Of Mississippi Llc	8729973623	25

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. Mrs Krista Bain Blaylock allows following entities to bill medicare on her behalf.

Entity Name	Premier Medical Group Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254

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. Mrs Krista Bain 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
Mrs Krista Bain Blaylock, NP 864 Wilson Dr, Suite C, Ridgeland, MS 39157-4512 Ph: (601) 206-6100	Mrs Krista Bain Blaylock, NP 332 Highway 12 W, Kosciusko, MS 39090-3209 Ph: (662) 289-1800

Reviews and Comments

Nurse Practitioner Nurses in Kosciusko, MS

Mrs. Mary Katherine Lawrence, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150 Fax: 662-290-3160
Annette Cross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4066 Attala Road 1110, Kosciusko, MS 39090 Phone: 166-261-4881
Mr. Timothy M. South, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 Fax: 662-289-2486
Mrs. Joy W Reynolds, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3099 Attala Road 1213, Kosciusko, MS 39090 Phone: 662-289-8022 Fax: 662-289-8022
Kimberly Michele Myer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150
Kayla Barnett Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1900 Fax: 662-289-2486
Mrs. Linda B Cockroft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-2776

Mrs Krista Bain Blaylock, NP - Medicare Nurse Practitioner in Kosciusko, MS