Trina Suzanne Blunk, NP in Indianapolis, IN - Medicare Nurse Practitioner

Trina Suzanne Blunk, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Indianapolis, Indiana. Her current practice location is 702 Barnhill Dr, Rm 1960, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 312-4021.

Trina Suzanne Blunk is licensed to practice in Indiana (license number 71003167A) 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 1407173784.

Contact Information

	Trina Suzanne Blunk, NP
	702 Barnhill Dr, Rm 1960, Indianapolis, IN 46202-5128
	(317) 312-4021
	(317) 948-4385

Map and Direction

Provider's Profile

Full Name	Trina Suzanne Blunk
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	702 Barnhill Dr, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407173784
Provider Enumeration Date: 04/27/2010
Last Update Date: 12/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7618393323
Enrollment ID: I20200812001391

Medical Identifiers

Medical identifiers for Trina Suzanne Blunk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407173784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	28130485A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	71003167A (Indiana)	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. Trina Suzanne Blunk allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695

Entity Name	Pediatric Surgical Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790880292 PECOS PAC ID: 9032123468 Enrollment ID: O20060206000474

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. Trina Suzanne Blunk 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
Trina Suzanne Blunk, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Trina Suzanne Blunk, NP 702 Barnhill Dr, Rm 1960, Indianapolis, IN 46202-5128 Ph: (317) 312-4021

Reviews and Comments

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Trina Suzanne Blunk, NP - Medicare Nurse Practitioner in Indianapolis, IN