Michele Deann Blair, APRN, NP-C is a medicare enrolled "Nurse Practitioner" physician in Madisonville, Kentucky. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Management Centers Of America, Psc and her current practice location is
200 Clinic Dr # 6, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(812) 477-7246.
Michele Deann Blair is licensed to practice in Kentucky (license number 3010855) 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 1073055901.
Physician's Profile
| Full Name | Michele Deann Blair |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 200 Clinic Dr # 6, Madisonville, Kentucky |
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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:
- Michele Deann Blair graduated from medical school in 2016
NPI Data:
- NPI Number: 1073055901
- Provider Enumeration Date: 11/09/2016
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395026926
- Enrollment ID: I20161219002840
Medical Identifiers
Medical identifiers for Michele Deann Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073055901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 3010855 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3010855 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
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. Michele Deann Blair allows following entities to bill medicare on her behalf.
| Entity Name | Commonwealth Pain Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306280177
PECOS PAC ID: 0941441919
Enrollment ID: O20130802000577 |
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| Entity Name | Pain Management Centers Of America Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992271811
PECOS PAC ID: 2769727114
Enrollment ID: O20190205002506 |
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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. Michele Deann Blair 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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Michele Deann Blair, APRN, NP-C
67 Lakeview Dr,
Paducah, KY 42001-5619
Ph: (270) 554-8373 | Michele Deann Blair, APRN, NP-C
200 Clinic Dr # 6,
Madisonville, KY 42431-1661
Ph: (812) 477-7246 |
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