Amy Blake, FNP-C in Jonesboro, LA - Medicare Nurse Practitioner

Amy Blake, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Louisiana. Her current practice location is 244 Bond St, Jonesboro, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 259-1100.

Amy Blake is licensed to practice in Louisiana (license number AP07742) 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 1063838464.

Contact Information

	Amy Blake, FNP-C
	244 Bond St, Jonesboro, LA 71251-5334
	(318) 259-1100
	(318) 259-1333

Map and Direction

Provider's Profile

Full Name	Amy Blake
Gender	Female
Speciality	Nurse Practitioner - Family
Location	244 Bond St, Jonesboro, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063838464
Provider Enumeration Date: 03/10/2014
Last Update Date: 11/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2961635644
Enrollment ID: I20140505000032

Medical Identifiers

Medical identifiers for Amy Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063838464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP07742 (Louisiana)	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. Amy Blake allows following entities to bill medicare on her behalf.

Entity Name	C H Wilkinson Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793

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. Amy Blake 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
Amy Blake, FNP-C Po Box 70, Hodge, LA 71247-0070 Ph: (318) 259-1100	Amy Blake, FNP-C 244 Bond St, Jonesboro, LA 71251-5334 Ph: (318) 259-1100

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, LA

Jennifer Marie Williams, MSN, APRN, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 327 Industrial Dr, Jonesboro, LA 71251 Phone: 318-259-8799
Jenny Martin Edu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Watts St Ste A, Jonesboro, LA 71251 Phone: 318-259-5636 Fax: 318-259-5640
Holly Rhymes Maxwell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 327 Industrial Dr, Jonesboro, LA 71251 Phone: 318-259-8799
Katie Boyett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 244 Bond St, Jonesboro, LA 71251 Phone: 318-259-1100
Miss Sonya D Mccarty, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 244 Bond St, Jonesboro, LA 71251 Phone: 318-259-1100 Fax: 318-259-1333
Jeremy Cathey, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Beech Springs Rd, Jonesboro, LA 71251 Phone: 318-259-4435

Amy Blake, FNP-C - Medicare Nurse Practitioner in Jonesboro, LA