Opal Mullings Blake, NP-C in Lawrenceville, GA

Opal Mullings Blake, NP-C is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gwinnett Pulmonary Group and her current practice location is 631 Professional Dr Ste 350, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 995-0630.

Opal Mullings Blake is licensed to practice in Georgia (license number RN 199200) 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 1043629140.

Contact Information

	Opal Mullings Blake, NP-C
	631 Professional Dr Ste 350, Lawrenceville, GA 30046-3370
	(770) 995-0630
	(770) 995-1555

Map and Direction

Provider's Profile

Full Name	Opal Mullings Blake
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	631 Professional Dr Ste 350, Lawrenceville, Georgia
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:

Opal Mullings Blake graduated from nursing school in 2014

NPI Data:

NPI Number: 1043629140
Provider Enumeration Date: 08/04/2014
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 2062633993
Enrollment ID: I20141017002324

Medical Identifiers

Medical identifiers for Opal Mullings Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043629140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN 199200 (Georgia)	Primary
363L00000X	Nurse Practitioner	RN199200 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gwinnett Pulmonary Group	1153317615	16

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. Opal Mullings Blake allows following entities to bill medicare on her behalf.

Entity Name	Gwinnett Pulmonary Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801974175 PECOS PAC ID: 1153317615 Enrollment ID: O20040421001310

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. Opal Mullings 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 Address	Practice Location Address
Opal Mullings Blake, NP-C 631 Professional Dr, Suite 350, Lawrenceville, GA 30046 Ph: (770) 995-0630	Opal Mullings Blake, NP-C 631 Professional Dr Ste 350, Lawrenceville, GA 30046-3370 Ph: (770) 995-0630

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: --
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Opal Mullings Blake, NP-C - Medicare Nurse Practitioner in Lawrenceville, GA