Ashley Blalock, - Medicare Nurse Practitioner in Friendship, TN

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Ashley Blalock, is a medicare enrolled "Nurse Practitioner - Primary Care" in Friendship, Tennessee. Her current practice location is 4903 Bruceville Slab Rd, Friendship, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 676-0393.

Ashley Blalock is licensed to practice in Tennessee (license number 21250) 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 1679931414.

Contact Information

Ashley Blalock,
4903 Bruceville Slab Rd,
Friendship, TN 38034-4325
(731) 676-0393
Not Available

Map and Direction




Provider's Profile

Full NameAshley Blalock
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location4903 Bruceville Slab Rd, Friendship, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679931414
  • Provider Enumeration Date: 02/08/2016
  • Last Update Date: 04/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103110606
  • Enrollment ID: I20160805001392

Medical Identifiers

Medical identifiers for Ashley Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679931414NPI-NPPES
1679931414MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21250 (Tennessee)Secondary
363LP2300XNurse Practitioner - Primary Care 21250 (Tennessee)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. Ashley Blalock allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameLifetime Fat Loss Centers Of Knoxville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093265605
PECOS PAC ID: 2567742430
Enrollment ID: O20161212000345
Entity NameLauderdale Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962034272
PECOS PAC ID: 9830505023
Enrollment ID: O20210422000338

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. Ashley Blalock 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
Ashley Blalock,
2373 Augusta St,
Dyersburg, TN 38024-8942

Ph: () -		Ashley Blalock,
4903 Bruceville Slab Rd,
Friendship, TN 38034-4325

Ph: (731) 676-0393

Reviews and Comments


Nurse Practitioner Nurses in Friendship, TN

Phyllis P Moore, DNP,FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Main St, Friendship, TN 38034
Phone: 731-677-3400    Fax: 731-677-3402

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.