Tammy Lee Blain, is a medicare enrolled "Clinical Nurse Specialist" in Victoria, Texas. Her current practice location is
1406 E Red River St, Victoria, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 575-5900.
Tammy Lee Blain is licensed to practice in Texas (license number 113155) 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 1386427326.
Provider's Profile
| Full Name | Tammy Lee Blain |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist |
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| Location | 1406 E Red River St, Victoria, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386427326
- Provider Enumeration Date: 08/15/2023
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557717972
- Enrollment ID: I20231020002450
Medical Identifiers
Medical identifiers for Tammy Lee Blain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386427326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | 113155 (Texas) | 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. Tammy Lee Blain allows following entities to bill medicare on her behalf.
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203 |
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| Entity Name | Wound Management Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20200610001466 |
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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. Tammy Lee Blain 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 |
|---|
Tammy Lee Blain,
2512 Mission Valley Rd,
Cuero, TX 77954-5632
Ph: (361) 935-7751 | Tammy Lee Blain,
1406 E Red River St,
Victoria, TX 77901-5521
Ph: (361) 575-5900 |
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