Jodee L Blaze, CRNA in Fargo, ND - Medicare Certified Registered Nurse Anesthetist (crna)

Jodee L Blaze, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fargo, North Dakota. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lutheran Charity Association, Sanford Medical Center Fargo, Sanford Health Network and her current practice location is 737 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-6258.

Jodee L Blaze is licensed to practice in North Dakota (license number R34791) 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 1093955593.

Contact Information

	Jodee L Blaze, CRNA
	737 Broadway N, Fargo, ND 58102-4421
	(701) 234-6258
	Not Available

Map and Direction

Provider's Profile

Full Name	Jodee L Blaze
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	737 Broadway N, Fargo, North Dakota
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:

Jodee L Blaze graduated from nursing school in 2009

NPI Data:

NPI Number: 1093955593
Provider Enumeration Date: 02/24/2009
Last Update Date: 02/22/2010

Medicare PECOS Information:

PECOS PAC ID: 6305997131
Enrollment ID: I20100212000139

Medical Identifiers

Medical identifiers for Jodee L Blaze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093955593	NPI	-	NPPES
1093955593	Medicaid	MN
P00733656	Other	MN	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R 152598-2 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R34791 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital
Jamestown Regional Medical Center	Jamestown, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Charity Association	2264341031	107
Sanford Medical Center Fargo	8426967803	1125
Sanford Health Network	6800707100	307

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. Jodee L Blaze allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Charity Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565

Entity Name	Lutheran Charity Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Jodee L Blaze 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
Jodee L Blaze, CRNA 737 Broadway N, Fargo, ND 58102-4421 Ph: (701) 234-6258	Jodee L Blaze, CRNA 737 Broadway N, Fargo, ND 58102-4421 Ph: (701) 234-6258

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fargo, ND

Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000

Jodee L Blaze, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fargo, ND