Nicole Bladin, ARNP is a medicare enrolled "Nurse Practitioner" in Melbourne Beach, Florida. Her current practice location is
206 Ash Ave, Melbourne Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(815) 701-6507.
Nicole Bladin is licensed to practice in Florida (license number 9398062) 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 1275955692.
Provider's Profile
Full Name | Nicole Bladin |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 206 Ash Ave, Melbourne Beach, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275955692
- Provider Enumeration Date: 01/21/2014
- Last Update Date: 02/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608008172
- Enrollment ID: I20240209002189
Medical Identifiers
Medical identifiers for Nicole Bladin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275955692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209011131 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 9398062 (Florida) | Primary |
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. Nicole Bladin 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 |
Nicole Bladin, ARNP 206 Ash Ave, Melbourne Beach, FL 32951-2402 Ph: (815) 701-6507 | Nicole Bladin, ARNP 206 Ash Ave, Melbourne Beach, FL 32951-2402 Ph: (815) 701-6507 |
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