Krista Lee Blough, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Cody, Wyoming. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sage Psychiatry Services Llc and her current practice location is
1002 Rumsey Ave Ste A, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 395-7510.
Krista Lee Blough is licensed to practice in Wyoming (license number 19373.1191) 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 1538432513.
Provider's Profile
| Full Name | Krista Lee Blough |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 14 Years |
|---|
| Location | 1002 Rumsey Ave Ste A, Cody, Wyoming |
|---|
| 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:
- Krista Lee Blough graduated from nursing school in 2012
NPI Data:
- NPI Number: 1538432513
- Provider Enumeration Date: 02/21/2012
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284885591
- Enrollment ID: I20121114000653
Medical Identifiers
Medical identifiers for Krista Lee Blough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538432513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 19373.1191 (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sage Psychiatry Services Llc | 7517498793 | 2 |
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. Krista Lee Blough allows following entities to bill medicare on her behalf.
| Entity Name | Sage Psychiatry Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700665577
PECOS PAC ID: 7517498793
Enrollment ID: O20240927002626 |
|---|
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. Krista Lee Blough 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 |
|---|
Krista Lee Blough, APRN
1002 Rumsey Ave Ste A,
Cody, WY 82414-3533
Ph: (307) 395-7510 | Krista Lee Blough, APRN
1002 Rumsey Ave Ste A,
Cody, WY 82414-3533
Ph: (307) 395-7510 |
Reviews and Comments