Jeanne Marie Blakeslee, PMHNP in Southlake, TX

Jeanne Marie Blakeslee, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southlake, Texas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Progressive Behavioral Health, Pllc and her current practice location is 1100 E Southlake Blvd Ste 300, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (178) 873-0595.

Jeanne Marie Blakeslee is licensed to practice in Texas (license number AP139257) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265907414.

Contact Information

	Jeanne Marie Blakeslee, PMHNP
	1100 E Southlake Blvd Ste 300, Southlake, TX 76092-6350
	(178) 873-0595
	(817) 873-0596

Map and Direction

Provider's Profile

Full Name	Jeanne Marie Blakeslee
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1100 E Southlake Blvd Ste 300, Southlake, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeanne Marie Blakeslee graduated from nursing school in 2018

NPI Data:

NPI Number: 1265907414
Provider Enumeration Date: 10/03/2018
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4587917588
Enrollment ID: I20181022000344

Medical Identifiers

Medical identifiers for Jeanne Marie Blakeslee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265907414	NPI	-	NPPES
AP139257	Other	TX	APRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP139257 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Progressive Behavioral Health, Pllc	4486794906	292

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. Jeanne Marie Blakeslee allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Entity Name	Psych Dimensions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538534086 PECOS PAC ID: 0143589739 Enrollment ID: O20180104000580

Entity Name	Emh Central Nw Austin Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932834371 PECOS PAC ID: 6103279260 Enrollment ID: O20240125001932

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. Jeanne Marie Blakeslee 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
Jeanne Marie Blakeslee, PMHNP 101 W Cooperative Way, Ste 110, Georgetown, TX 78626-8209 Ph: (178) 873-0595	Jeanne Marie Blakeslee, PMHNP 1100 E Southlake Blvd Ste 300, Southlake, TX 76092-6350 Ph: (178) 873-0595

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Viktoria Zatkalik, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104

Jeanne Marie Blakeslee, PMHNP - Medicare Nurse Practitioner in Southlake, TX