Blake Andrew Embrey, in Coldwater, MS - Medicare Nurse Practitioner

Blake Andrew Embrey, is a medicare enrolled "Nurse Practitioner" in Coldwater, Mississippi. His current practice location is 423 Central Avenue, Coldwater, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 622-7011.

Blake Andrew Embrey is licensed to practice in Mississippi (license number 902101) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770007452.

Contact Information

	Blake Andrew Embrey,
	423 Central Avenue, Coldwater, MS 38618
	(662) 622-7011
	Not Available

Map and Direction

Provider's Profile

Full Name	Blake Andrew Embrey
Gender	Male
Speciality	Nurse Practitioner
Location	423 Central Avenue, Coldwater, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770007452
Provider Enumeration Date: 08/03/2017
Last Update Date: 08/03/2017

Medicare PECOS Information:

PECOS PAC ID: 3375899685
Enrollment ID: I20180628001992

Medical Identifiers

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

Identifier	Type	State	Issuer
1770007452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	902101 (Mississippi)	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. Blake Andrew Embrey allows following entities to bill medicare on his behalf.

Entity Name	Sardis Family Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932399276 PECOS PAC ID: 6406949312 Enrollment ID: O20110128000899

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. Blake Andrew Embrey 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
Blake Andrew Embrey, 423 Central Ave, Coldwater, MS 38618-3915 Ph: () -	Blake Andrew Embrey, 423 Central Avenue, Coldwater, MS 38618 Ph: (662) 622-7011

Reviews and Comments

Nurse Practitioner Nurses in Coldwater, MS

Joseph Louis Omedeo Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 Central Ave, Coldwater, MS 38618 Phone: 662-622-7011
Jamie Birge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-624-4292 Fax: 662-624-4354
Anthony Newson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-233-5200 Fax: 662-624-4354
Natalie H Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4962 Highway 305, Coldwater, MS 38618 Phone: 662-370-5067 Fax: 662-370-5076
Tara Puckett, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 Central Ave, Coldwater, MS 38618 Phone: 662-622-7011
Miss Brittany Kelly Harris, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-233-5200 Fax: 662-233-5200

Blake Andrew Embrey, - Medicare Nurse Practitioner in Coldwater, MS