Brandi Blakes, in Burbank, CA - Medicare Nurse Practitioner

Brandi Blakes, is a medicare enrolled "Nurse Practitioner - Gerontology" in Burbank, California. Her current practice location is 2501 W Burbank Blvd, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (818) 856-9535.

Brandi Blakes is licensed to practice in California (license number 0000000) 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 1174281539.

Contact Information

	Brandi Blakes,
	2501 W Burbank Blvd, Burbank, CA 91505-2347
	(818) 856-9535
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandi Blakes
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2501 W Burbank Blvd, Burbank, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174281539
Provider Enumeration Date: 12/02/2021
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6901286533
Enrollment ID: I20220629001229

Medical Identifiers

Medical identifiers for Brandi Blakes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174281539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	0000000 (California)	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. Brandi Blakes allows following entities to bill medicare on her behalf.

Entity Name	West Coast Wound And Skin Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20171010002105

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. Brandi Blakes 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
Brandi Blakes, 3074 Ryan Ave, Tulare, CA 93274-7765 Ph: (832) 286-5098	Brandi Blakes, 2501 W Burbank Blvd, Burbank, CA 91505-2347 Ph: (818) 856-9535

Reviews and Comments

Nurse Practitioner Nurses in Burbank, CA

Caitlin Provost Conlon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-557-2671
Anasheh Avanes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Olive Ave, Burbank, CA 91506 Phone: 747-477-1411
Jennifer S Lee, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505 Phone: 818-842-7145
Lynn Adora Lima, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505 Phone: 818-841-0710
Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561
Jesselyn Joy Walter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506 Phone: 323-620-3463
Mrs. Forreline Grigsby Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 N Hollywood Way, Burbank, CA 91505 Phone: 866-389-2727

Brandi Blakes, - Medicare Nurse Practitioner in Burbank, CA