Shekella Blanden, NP in Leesburg, GA - Medicare Nurse Practitioner

Shekella Blanden, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Leesburg, Georgia. Her current practice location is 174 Tallassee Trl, Leesburg, Georgia. You can reach out to her office (for appointments etc.) via phone at (904) 716-3749.

Shekella Blanden is licensed to practice in Georgia (license number RN223070) 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 1396285516.

Contact Information

	Shekella Blanden, NP
	174 Tallassee Trl, Leesburg, GA 31763-3770
	(904) 716-3749
	Not Available

Map and Direction

Provider's Profile

Full Name	Shekella Blanden
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	174 Tallassee Trl, Leesburg, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396285516
Provider Enumeration Date: 03/07/2017
Last Update Date: 03/07/2017

Medicare PECOS Information:

PECOS PAC ID: 3971871732
Enrollment ID: I20170620000856

Medical Identifiers

Medical identifiers for Shekella Blanden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396285516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN223070 (Georgia)	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. Shekella Blanden allows following entities to bill medicare on her behalf.

Entity Name	Pruitthealth Physicians Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256

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. Shekella Blanden 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
Shekella Blanden, NP 174 Tallassee Trl, Leesburg, GA 31763-3770 Ph: () -	Shekella Blanden, NP 174 Tallassee Trl, Leesburg, GA 31763-3770 Ph: (904) 716-3749

Reviews and Comments

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Shekella Blanden, NP - Medicare Nurse Practitioner in Leesburg, GA