Ms Mildred A Blandamer, FAMILY PMHNP-BC in San Francisco, CA

Ms Mildred A Blandamer, FAMILY PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Francisco, California. Her current practice location is Brightside Health Telepsychiatry, 2261 Market Street, Suite 10222, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (918) 762-6604.

Ms Mildred A Blandamer is licensed to practice in Oklahoma (license number 34370) 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 1932420239.

Contact Information

	Ms Mildred A Blandamer, FAMILY PMHNP-BC
	Brightside Health Telepsychiatry, 2261 Market Street, Suite 10222, San Francisco, CA 94114
	(918) 762-6604
	(918) 762-6646

Map and Direction

Provider's Profile

Full Name	Ms Mildred A Blandamer
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	Brightside Health Telepsychiatry, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932420239
Provider Enumeration Date: 06/21/2010
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5092969162
Enrollment ID: I20240111000319

Medical Identifiers

Medical identifiers for Ms Mildred A Blandamer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932420239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5400 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	34370 (Oklahoma)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	34334 (Alabama)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	154915 (Montana)	Secondary

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 Mildred A Blandamer allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230911000972

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 Mildred A Blandamer 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
Ms Mildred A Blandamer, FAMILY PMHNP-BC 8108 E Norman St, Broken Arrow, OK 74014-7414 Ph: (918) 316-9353	Ms Mildred A Blandamer, FAMILY PMHNP-BC Brightside Health Telepsychiatry, 2261 Market Street, Suite 10222, San Francisco, CA 94114 Ph: (918) 762-6604

Reviews and Comments

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Ms Mildred A Blandamer, FAMILY PMHNP-BC - Medicare Nurse Practitioner in San Francisco, CA