Dr Carli Jo Blomquist, MD - Medicare Emergency Medicine in Canton, GA

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Dr Carli Jo Blomquist, MD is a medicare enrolled "Emergency Medicine" physician in Canton, Georgia. Her current practice location is 201 Hospital Road, Northside Hospital - Cherokee, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 720-5100.

Dr Carli Jo Blomquist is licensed to practice in Georgia (license number 69378) 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 1831417278.

Contact Information

Dr Carli Jo Blomquist, MD
201 Hospital Road, Northside Hospital - Cherokee,
Canton, GA 30114
(770) 720-5100
Not Available

Map and Direction




Physician's Profile

Full NameDr Carli Jo Blomquist
GenderFemale
SpecialityEmergency Medicine
Location201 Hospital Road, Canton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831417278
  • Provider Enumeration Date: 05/10/2010
  • Last Update Date: 01/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4183867104
  • Enrollment ID: I20130823000409

Medical Identifiers

Medical identifiers for Dr Carli Jo Blomquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831417278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 069378 (Georgia)Secondary
207P00000XEmergency Medicine 69378 (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. Dr Carli Jo Blomquist allows following entities to bill medicare on her behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165
Entity NameCoweta Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245556588
PECOS PAC ID: 5395876452
Enrollment ID: O20100706000634

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. Dr Carli Jo Blomquist 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 AddressPractice Location Address
Dr Carli Jo Blomquist, MD
Po Box 421309,
Atlanta, GA 30342

Ph: (404) 580-0845		Dr Carli Jo Blomquist, MD
201 Hospital Road, Northside Hospital - Cherokee,
Canton, GA 30114

Ph: (770) 720-5100

Reviews and Comments


Emergency Medicine Doctors in Canton, GA

Dr. Gayatri Shangari, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 847-302-1320    
Mark Graham Hogan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Hospital Rd, Canton, GA 30114
Phone: 770-994-9326    Fax: 770-994-4747
Allen Randle Beecham, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Village Professional Dr, Suite 200, Canton, GA 30114
Phone: 678-661-4545    
Dr. Brenda Dee Friedman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Hospital Rd, Canton, GA 30114
Phone: 770-720-5191    
Dr. Josh Garet Uptigrove, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 201 Hospital Rd, Canton, GA 30114
Phone: 770-720-5100    
Dr. Ruchir K. Khurana, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 551 Riverstone Pkwy, Suite 100, Canton, GA 30114
Phone: 770-345-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.