Blake Erin Roseberry, FNP-BC is a medicare enrolled "Nurse Practitioner" physician in Terre Haute, Indiana. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sullivan County Community Hospital, Union Associated Physicians Clinic, Llc and her current practice location is
1429 N 6th St Fl 4, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 242-3175.
Blake Erin Roseberry is licensed to practice in Indiana (license number 28205992A) 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 1932810751.
Physician's Profile
| Full Name | Blake Erin Roseberry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1429 N 6th St Fl 4, Terre Haute, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Blake Erin Roseberry graduated from medical school in 2022
NPI Data:
- NPI Number: 1932810751
- Provider Enumeration Date: 12/13/2022
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911371448
- Enrollment ID: I20230323000520
Medical Identifiers
Medical identifiers for Blake Erin Roseberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932810751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 28205992A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 28205992A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sullivan County Community Hospital | 2466497482 | 39 |
| Union Associated Physicians Clinic, Llc | 3375687437 | 197 |
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. Blake Erin Roseberry allows following entities to bill medicare on her behalf.
| Entity Name | Union Associated Physicians Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002 |
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| Entity Name | Sullivan County Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497363303
PECOS PAC ID: 2466497482
Enrollment ID: O20200831000591 |
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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. Blake Erin Roseberry 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 |
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Blake Erin Roseberry, FNP-BC
1429 N 6th St Fl 4,
Terre Haute, IN 47807-1019
Ph: (812) 242-3175 | Blake Erin Roseberry, FNP-BC
1429 N 6th St Fl 4,
Terre Haute, IN 47807-1019
Ph: (812) 242-3175 |
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