Ms Johannah Blake, PMHNP-BC - Medicare Nurse Practitioner in Tucson, AZ

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Ms Johannah Blake, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucson, Arizona. Her current practice location is 3814 E 5th St, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 372-8575.

Ms Johannah Blake is licensed to practice in Arizona (license number 229492) 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 1609426261.

Contact Information

Ms Johannah Blake, PMHNP-BC
3814 E 5th St,
Tucson, AZ 85716-5145
(520) 372-8575
(520) 372-8576

Map and Direction




Provider's Profile

Full NameMs Johannah Blake
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3814 E 5th St, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609426261
  • Provider Enumeration Date: 09/16/2019
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173855269
  • Enrollment ID: I20191022002147

Medical Identifiers

Medical identifiers for Ms Johannah Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609426261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 229492 (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. Ms Johannah Blake allows following entities to bill medicare on her behalf.
Entity NameNextcare Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043371826
PECOS PAC ID: 9537161260
Enrollment ID: O20070209000357
Entity NameLeaf And Stone Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356030951
PECOS PAC ID: 7416303631
Enrollment ID: O20231025000207

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. Ms Johannah Blake 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
Ms Johannah Blake, PMHNP-BC
975 N Silverbell Rd Unit 85194,
Tucson, AZ 85754-4009

Ph: (520) 861-4414		Ms Johannah Blake, PMHNP-BC
3814 E 5th St,
Tucson, AZ 85716-5145

Ph: (520) 372-8575

Reviews and Comments


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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).

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