Dr Nicole Elizabeth Blum, MD - Medicare Emergency Medicine in Urbana, IL

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Dr Nicole Elizabeth Blum, MD is a medicare enrolled "Emergency Medicine" physician in Urbana, Illinois. Her current practice location is 611 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3313.

Dr Nicole Elizabeth Blum is licensed to practice in Illinois (license number 036167793) 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 1285215616.

Contact Information

Dr Nicole Elizabeth Blum, MD
611 W Park St,
Urbana, IL 61801-2501
(217) 383-3313
(217) 383-4014

Map and Direction




Physician's Profile

Full NameDr Nicole Elizabeth Blum
GenderFemale
SpecialityEmergency Medicine
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285215616
  • Provider Enumeration Date: 04/17/2021
  • Last Update Date: 09/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729480157
  • Enrollment ID: I20240523000580

Medical Identifiers

Medical identifiers for Dr Nicole Elizabeth Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285215616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.078748 (Illinois)Secondary
207P00000XEmergency Medicine 036167793 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Nicole Elizabeth Blum allows following entities to bill medicare on her behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 Nicole Elizabeth Blum 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 Nicole Elizabeth Blum, MD
611 W Park St, Fapc,
Urbana, IL 61801-2500

Ph: () -		Dr Nicole Elizabeth Blum, MD
611 W Park St,
Urbana, IL 61801-2501

Ph: (217) 383-3313

Reviews and Comments


Emergency Medicine Doctors in Urbana, IL

Dr. Carlos Enrique Brown Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    
Dr. Imran Khan, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Dr. Brent Olson, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Brendan Mcevoy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3285    
Michael F Hegarty, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801
Phone: 217-383-4930    Fax: 217-383-4014
Ryan Paul Hurth, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Lars Grant, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801
Phone: 217-337-2131    

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).

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