Janice Blake, PMHNP - Medicare Nurse Practitioner in S Glastonbury, CT

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Janice Blake, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in S Glastonbury, Connecticut. Her current practice location is 181 Thompson St, S Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 266-7826.

Janice Blake is licensed to practice in Connecticut (license number 8329) 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 1548822000.

Contact Information

Janice Blake, PMHNP
181 Thompson St,
S Glastonbury, CT 06073-2919
(860) 266-7826
Not Available

Map and Direction




Provider's Profile

Full NameJanice Blake
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location181 Thompson St, S Glastonbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548822000
  • Provider Enumeration Date: 07/05/2019
  • Last Update Date: 06/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284060526
  • Enrollment ID: I20200205002681

Medical Identifiers

Medical identifiers for Janice Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548822000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 8329 (Connecticut)Secondary
363LP0200XNurse Practitioner - Pediatrics 8329 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8329 (Connecticut)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. Janice Blake allows following entities to bill medicare on her behalf.
Entity NameCatholic Charities Inc Archdiocese of Hartford
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669566956
PECOS PAC ID: 2567367469
Enrollment ID: O20031204000340
Entity NameProhealth Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602
Entity NameHospital for Special Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477534089
PECOS PAC ID: 7810985637
Enrollment ID: O20040506000578
Entity NameCatholic Charities Inc Archdiocese of Hartford
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245324516
PECOS PAC ID: 2567367469
Enrollment ID: O20040521000152
Entity NameCatholic Charities Inc Archdiocese of Hartford
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518051747
PECOS PAC ID: 2567367469
Enrollment ID: O20040928000800

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. Janice 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
Janice Blake, PMHNP
181 Thompson St,
S Glastonbury, CT 06073-2919

Ph: Not Available		Janice Blake, PMHNP
181 Thompson St,
S Glastonbury, CT 06073-2919

Ph: (860) 266-7826

Reviews and Comments



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.