Ms Miranda Fordham Blais, WHNP-BC - Medicare Nurse Practitioner in Brookhaven, GA

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Ms Miranda Fordham Blais, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" physician in Brookhaven, Georgia. Her current practice location is 3369 Buford Hwy Ne Ste 810a, Brookhaven, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 321-4692.

Ms Miranda Fordham Blais is licensed to practice in Georgia (license number RN216488) 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 1639607625.

Contact Information

Ms Miranda Fordham Blais, WHNP-BC
3369 Buford Hwy Ne Ste 810a,
Brookhaven, GA 30329-1742
(404) 321-4692
Not Available

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Physician's Profile

Full NameMs Miranda Fordham Blais
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location3369 Buford Hwy Ne Ste 810a, Brookhaven, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639607625
  • Provider Enumeration Date: 06/02/2017
  • Last Update Date: 02/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002200292
  • Enrollment ID: I20220304000730

Medical Identifiers

Medical identifiers for Ms Miranda Fordham Blais such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639607625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology RN216488 (Georgia)Secondary
363LW0102XNurse Practitioner - Women's Health RN216488 (Georgia)Primary

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. Ms Miranda Fordham Blais allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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. Ms Miranda Fordham Blais 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
Ms Miranda Fordham Blais, WHNP-BC
491 Park Valley Dr Nw,
Atlanta, GA 30318-6251

Ph: (706) 248-6020		Ms Miranda Fordham Blais, WHNP-BC
3369 Buford Hwy Ne Ste 810a,
Brookhaven, GA 30329-1742

Ph: (404) 321-4692

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.