Brandi Jay Blake, FNP-BC - Medicare Nurse Practitioner in Glenwood, WV

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Brandi Jay Blake, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Glenwood, West Virginia. Her current practice location is 4043 Rocky Fork Rd, Glenwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 531-4868.

Brandi Jay Blake is licensed to practice in West Virginia (license number 114033) 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 1538884713.

Contact Information

Brandi Jay Blake, FNP-BC
4043 Rocky Fork Rd,
Glenwood, WV 25520-9266
(304) 531-4868
Not Available

Map and Direction




Provider's Profile

Full NameBrandi Jay Blake
GenderFemale
SpecialityNurse Practitioner - Family
Location4043 Rocky Fork Rd, Glenwood, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538884713
  • Provider Enumeration Date: 10/10/2022
  • Last Update Date: 10/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193197887
  • Enrollment ID: I20230206001993

Medical Identifiers

Medical identifiers for Brandi Jay Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538884713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 114033 (West Virginia)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. Brandi Jay Blake allows following entities to bill medicare on her behalf.
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1902962368
PECOS PAC ID: 9931017969
Enrollment ID: O20040325000411
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1124323340
PECOS PAC ID: 9931017969
Enrollment ID: O20120917000531
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1548542277
PECOS PAC ID: 9931017969
Enrollment ID: O20130415000484
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659769776
PECOS PAC ID: 9931017969
Enrollment ID: O20151015002625
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659733293
PECOS PAC ID: 9931017969
Enrollment ID: O20160824002521
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700446929
PECOS PAC ID: 9931017969
Enrollment ID: O20191202000085
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013577303
PECOS PAC ID: 9931017969
Enrollment ID: O20200407002573
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407466535
PECOS PAC ID: 9931017969
Enrollment ID: O20201121000107

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. Brandi Jay 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 AddressPractice Location Address
Brandi Jay Blake, FNP-BC
4043 Rocky Fork Rd,
Glenwood, WV 25520-9266

Ph: (304) 531-4868		Brandi Jay Blake, FNP-BC
4043 Rocky Fork Rd,
Glenwood, WV 25520-9266

Ph: (304) 531-4868

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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.