Kaitlin Janann Blalock, NP is a medicare enrolled "Nurse Practitioner" physician in Dallas, Texas. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Foundation Pain And Spine Pllc and her current practice location is
7 Medical Pkwy, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 563-4146.
Kaitlin Janann Blalock is licensed to practice in Texas (license number 1006425) 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 1841870649.
Physician's Profile
| Full Name | Kaitlin Janann Blalock |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 7 Medical Pkwy, Dallas, Texas |
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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:
- Kaitlin Janann Blalock graduated from medical school in 2020
NPI Data:
- NPI Number: 1841870649
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204219124
- Enrollment ID: I20220810001519
Medical Identifiers
Medical identifiers for Kaitlin Janann Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841870649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 1006425 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1006425 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1006425 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Foundation Pain And Spine Pllc | 1850722828 | 2 |
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. Kaitlin Janann Blalock allows following entities to bill medicare on her behalf.
| Entity Name | Foundation Pain And Spine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174151997
PECOS PAC ID: 1850722828
Enrollment ID: O20200506001763 |
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| Entity Name | Advanced Nps Of North Texas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043944952
PECOS PAC ID: 5395128219
Enrollment ID: O20220810001329 |
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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. Kaitlin Janann Blalock 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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Kaitlin Janann Blalock, NP
14902 Preston Rd Ste 404-813,
Dallas, TX 75254-9105
Ph: (903) 563-4146 | Kaitlin Janann Blalock, NP
7 Medical Pkwy,
Dallas, TX 75234-7829
Ph: (903) 563-4146 |
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