Allyson Blue, NP - Medicare Nurse Practitioner in Fairburn, GA

Allyson Blue, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fairburn, Georgia. Her current practice location is 7870 Waterlace Dr, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 542-5017.

Allyson Blue is licensed to practice in Georgia (license number RN086104) 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 1184288730.

Contact Information

Allyson Blue, NP
7870 Waterlace Dr,
Fairburn, GA 30213-4647
(404) 542-5017
Not Available

Map and Direction




Provider's Profile

Full NameAllyson Blue
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location7870 Waterlace Dr, Fairburn, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184288730
  • Provider Enumeration Date: 04/30/2019
  • Last Update Date: 03/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375961220
  • Enrollment ID: I20200909003499

Medical Identifiers

Medical identifiers for Allyson Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184288730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management RN086104 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN086104 (Georgia)Primary
163WH0200XRegistered Nurse - Home Health RN086104 (Georgia)Secondary
163WI0500XRegistered Nurse - Infusion Therapy RN086104 (Georgia)Secondary
363LG0600XNurse Practitioner - Gerontology RN086104 (Georgia)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. Allyson Blue allows following entities to bill medicare on her behalf.
Entity NameInfinite Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20201119003156
Entity NameMonogram Health Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255930228
PECOS PAC ID: 4880004183
Enrollment ID: O20210505003249
Entity NameCenterwell Senior Primary Care Ga Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801463468
PECOS PAC ID: 3274939061
Enrollment ID: O20210901004313
Entity NameHospital In Your Home, Usa Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073299574
PECOS PAC ID: 9537520069
Enrollment ID: O20230801001612

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. Allyson Blue 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
Allyson Blue, NP
7870 Waterlace Dr,
Fairburn, GA 30213-4647

Ph: (404) 542-5017
Allyson Blue, NP
7870 Waterlace Dr,
Fairburn, GA 30213-4647

Ph: (404) 542-5017

Reviews and Comments


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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.