Jennifer Lee Blake, NP - Medicare Nurse Practitioner in Manchester, CT

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Jennifer Lee Blake, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Manchester, Connecticut. Her current practice location is 71 Haynes St, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 646-1222.

Jennifer Lee Blake is licensed to practice in Connecticut (license number 12319) 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 1508643750.

Contact Information

Jennifer Lee Blake, NP
71 Haynes St,
Manchester, CT 06040-4188
(860) 646-1222
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Lee Blake
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location71 Haynes St, Manchester, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508643750
  • Provider Enumeration Date: 09/12/2023
  • Last Update Date: 09/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012364458
  • Enrollment ID: I20231107002686

Medical Identifiers

Medical identifiers for Jennifer Lee Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508643750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 12319 (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. Jennifer Lee Blake allows following entities to bill medicare on her behalf.
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

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. Jennifer Lee 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
Jennifer Lee Blake, NP
159 Anna Farm Rd E,
North Stonington, CT 06359-1035

Ph: (401) 741-9862		Jennifer Lee Blake, NP
71 Haynes St,
Manchester, CT 06040-4188

Ph: (860) 646-1222

Reviews and Comments


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Melissa A Moynihan,
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Practice Location: 150 N Main St, Manchester, CT 06042
Phone: 860-528-1359    
Mrs. Michelle Louton Vanduinen, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 587 Middle Tpke E, Manchester, CT 06040
Phone: 860-646-3888    Fax: 860-645-4132
Christina Marie Martin, CNM, WHNP
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Phone: 860-643-1607    
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Practice Location: 315 E Center St, Manchester, CT 06040
Phone: 860-533-0179    Fax: 866-603-4163

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.