Ebonee Monique Blake, APRN, CRNA in Winfield, IL - Medicare Nurse Anesthetist, Certified Registered

Ebonee Monique Blake, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winfield, Illinois. Her current practice location is 25 N Winfield Rd, Winfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 933-6675.

Ebonee Monique Blake is licensed to practice in Illinois (license number 209025731) 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 1083356745.

Contact Information

	Ebonee Monique Blake, APRN, CRNA
	25 N Winfield Rd, Winfield, IL 60190-1379
	(630) 933-6675
	(630) 933-2614

Map and Direction

Provider's Profile

Full Name	Ebonee Monique Blake
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	25 N Winfield Rd, Winfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083356745
Provider Enumeration Date: 04/12/2022
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9537535042
Enrollment ID: I20221024001923

Medical Identifiers

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

Identifier	Type	State	Issuer
1083356745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041422578 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209025731 (Illinois)	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. Ebonee Monique Blake allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

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. Ebonee Monique 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
Ebonee Monique Blake, APRN, CRNA 25 N Winfield Rd, Winfield, IL 60190-1379 Ph: (630) 933-6675	Ebonee Monique Blake, APRN, CRNA 25 N Winfield Rd, Winfield, IL 60190-1379 Ph: (630) 933-6675

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winfield, IL

Mrs. Shari M Jordan, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Mitchell S Kraus, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Liane M Bertoia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Victoria Nicole Sit, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Teresa Rokosz, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Sarah Elizabeth Corless, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6675 Fax: 630-933-2614
Elizabeth A Keys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25 N. Winfield Road, Winfield, IL 60190 Phone: 630-933-1600

Ebonee Monique Blake, APRN, CRNA - Medicare Nurse Anesthetist, Certified Registered in Winfield, IL