Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C - Medicare Nurse Practitioner in Marietta, GA

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Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 2480 Windy Hill Rd Se Ste 405, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (800) 640-3451.

Mrs Marisa Kristine Blake-raut is licensed to practice in Georgia (license number RN193648) 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 1528532272.

Contact Information

Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C
2480 Windy Hill Rd Se Ste 405,
Marietta, GA 30067-8658
(800) 640-3451
Not Available

Map and Direction




Provider's Profile

Full NameMrs Marisa Kristine Blake-raut
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2480 Windy Hill Rd Se Ste 405, Marietta, Georgia
Accepts Medicare AssignmentsYes. 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 Marisa Kristine Blake-raut graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1528532272
  • Provider Enumeration Date: 01/16/2019
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648691113
  • Enrollment ID: I20200609002109

Medical Identifiers

Medical identifiers for Mrs Marisa Kristine Blake-raut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528532272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN193648 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peachtree Immediate Care Fp, Llc3274559323251

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 Marisa Kristine Blake-raut allows following entities to bill medicare on her behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameCherokee Internal Medicine, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790016624
PECOS PAC ID: 8224164710
Enrollment ID: O20100414000334
Entity NameMy Doctors Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497183941
PECOS PAC ID: 2860620580
Enrollment ID: O20140102000038
Entity NameEnnoble Hc Dmv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104492115
PECOS PAC ID: 9032517925
Enrollment ID: O20211029000202

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 Marisa Kristine Blake-raut 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
Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C
Po Box 1200,
Pleasant Grove, UT 84062-1200

Ph: (800) 640-3451		Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C
2480 Windy Hill Rd Se Ste 405,
Marietta, GA 30067-8658

Ph: (800) 640-3451

Reviews and Comments


Nurse Practitioner Nurses in Marietta, GA

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Phone: 770-422-3602    
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Julie J Baute, APRN
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Phone: 404-643-0444    
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Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060
Phone: 678-458-5311    

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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