Jateum Mauree Blackburn, FNP-C - Medicare Nurse Practitioner in Cleveland, TN

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Jateum Mauree Blackburn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bradley Physician Services, Llc and her current practice location is 2253 Chambliss Ave Nw Ste 400, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 476-5002.

Jateum Mauree Blackburn is licensed to practice in Tennessee (license number 20240) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1265818983.

Contact Information

Jateum Mauree Blackburn, FNP-C
2253 Chambliss Ave Nw Ste 400,
Cleveland, TN 37311-3861
(423) 476-5002
(423) 476-5969

Map and Direction




Provider's Profile

Full NameJateum Mauree Blackburn
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2253 Chambliss Ave Nw Ste 400, Cleveland, Tennessee
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jateum Mauree Blackburn graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1265818983
  • Provider Enumeration Date: 08/04/2015
  • Last Update Date: 12/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002124880
  • Enrollment ID: I20150928001841

Medical Identifiers

Medical identifiers for Jateum Mauree Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265818983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20240 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoration Home Health And Hospice Care East TnCleveland, TNHome health agency
Tennova Home Health - ClevelandCleveland, TNHome health agency
Tennova Health Care-clevelandCleveland, TNHospital
Starr Regional Medical Center AthensAthens, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bradley Physician Services, Llc812356339238

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. Jateum Mauree Blackburn allows following entities to bill medicare on her behalf.
Entity NameBradley Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710727540
PECOS PAC ID: 8123563392
Enrollment ID: O20240711003004

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. Jateum Mauree Blackburn 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
Jateum Mauree Blackburn, FNP-C
2253 Chambliss Ave Nw Ste 400,
Cleveland, TN 37311-3861

Ph: (423) 476-5002		Jateum Mauree Blackburn, FNP-C
2253 Chambliss Ave Nw Ste 400,
Cleveland, TN 37311-3861

Ph: (423) 476-5002

Reviews and Comments


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Miss Margie Amanda Cook, FNP
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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.