Marie Blaize, is a medicare enrolled "Hospitalist" physician in Carrollton, Georgia. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice South Sound Inpatient Physicians Pllc, Inpatient Specialists Of California Pc, Apogee Medical Group Georgia and her current practice location is
705 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 838-8824.
Marie Blaize is licensed to practice in Georgia (license number 076302) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275979205.
Physician's Profile
| Full Name | Marie Blaize |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 13 Years |
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| Location | 705 Dixie St, Carrollton, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marie Blaize graduated from medical school in 2013
NPI Data:
- NPI Number: 1275979205
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941521298
- Enrollment ID: I20240123005007
Medical Identifiers
Medical identifiers for Marie Blaize such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275979205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD61514731 (Washington) | Secondary |
| 207R00000X | Internal Medicine | 076302 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 076302 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Sound Inpatient Physicians Pllc | 5991618738 | 424 |
| Inpatient Specialists Of California Pc | 3476864448 | 373 |
| Apogee Medical Group Georgia | 4587676945 | 122 |
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. Marie Blaize allows following entities to bill medicare on her behalf.
| Entity Name | South Sound Inpatient Physicians PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668 |
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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. Marie Blaize 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 |
|---|
Marie Blaize,
119 Ambulance Dr, Suite 202,
Carrollton, GA 30117-3857
Ph: (770) 838-8824 | Marie Blaize,
705 Dixie St,
Carrollton, GA 30117-3818
Ph: (770) 838-8824 |
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