Michael E Blea, is a medicare enrolled "Social Worker - Clinical" provider in Johnsburg, Illinois. His current practice location is
4210 Ella Ln, Johnsburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 995-0306.
Michael E Blea is licensed to practice in Illinois (license number 149.026204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457030165.
Healthcare Provider's Profile
Full Name | Michael E Blea |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4210 Ella Ln, Johnsburg, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457030165
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 03/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244672194
- Enrollment ID: I20240523003490
Medical Identifiers
Medical identifiers for Michael E Blea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457030165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.026204 (Illinois) | 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. Michael E Blea allows following entities to bill medicare on his behalf.
Entity Name | Clear Springs Therapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902654916 PECOS PAC ID: 4688110158 Enrollment ID: O20240719002453 |
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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. Michael E Blea 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 |
Michael E Blea, 4210 Ella Ln, Johnsburg, IL 60051-5433 Ph: (815) 995-0306 | Michael E Blea, 4210 Ella Ln, Johnsburg, IL 60051-5433 Ph: (815) 995-0306 |
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