Marissa Blanco, LPC, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Lubbock, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Center Of Lubbock, Inc. and her current practice location is
1610 5th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 765-2611.
Marissa Blanco is licensed to practice in Texas (license number 760444) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386644821.
Healthcare Provider's Profile
| Full Name | Marissa Blanco |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 15 Years |
|---|
| Location | 1610 5th St, Lubbock, Texas |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Marissa Blanco attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2011
NPI Data:
- NPI Number: 1386644821
- Provider Enumeration Date: 07/27/2005
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608031539
- Enrollment ID: I20240913000034
Medical Identifiers
Medical identifiers for Marissa Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386644821 | NPI | - | NPPES |
| 028736901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 10875 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 760444 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Health Center Of Lubbock, Inc. | 6002710860 | 14 |
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. Marissa Blanco allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Of Lubbock, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831569540
PECOS PAC ID: 6002710860
Enrollment ID: O20180731002269 |
|---|
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. Marissa Blanco 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 |
|---|
Marissa Blanco, LPC, FNP
1610 5th St,
Lubbock, TX 79401-2622
Ph: (806) 765-2611 | Marissa Blanco, LPC, FNP
1610 5th St,
Lubbock, TX 79401-2622
Ph: (806) 765-2611 |
Reviews and Comments