Marie Blacker Blacker, PMHNP-C in Orem, UT - Medicare Nurse Practitioner

Marie Blacker Blacker, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orem, Utah. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sweetgrass Psychiatry Llc and her current practice location is 1125 W Center St, Orem, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 903-5903.

Marie Blacker Blacker is licensed to practice in Utah (license number 267381-4405) 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 1326521543.

Contact Information

	Marie Blacker Blacker, PMHNP-C
	1125 W Center St, Orem, UT 84057-5207
	(801) 903-5903
	Not Available

Map and Direction

Provider's Profile

Full Name	Marie Blacker Blacker
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1125 W Center St, Orem, Utah
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:

Marie Blacker Blacker graduated from nursing school in 2021

NPI Data:

NPI Number: 1326521543
Provider Enumeration Date: 09/13/2018
Last Update Date: 03/13/2026

Medicare PECOS Information:

PECOS PAC ID: 5496081903
Enrollment ID: I20240409003085

Medical Identifiers

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

Identifier	Type	State	Issuer
1326521543	NPI	-	NPPES
1477985513	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	267381-4405 (Utah)	Primary
363LF0000X	Nurse Practitioner - Family	267381-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28201 (South Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sweetgrass Psychiatry Llc	4688932957	23

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. Marie Blacker Blacker allows following entities to bill medicare on her behalf.

Entity Name	Sweetgrass Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669985859 PECOS PAC ID: 4688932957 Enrollment ID: O20171213002990

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. Marie Blacker Blacker 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
Marie Blacker Blacker, PMHNP-C 1125 W Center St, Orem, UT 84057-5207 Ph: (801) 903-5903	Marie Blacker Blacker, PMHNP-C 1125 W Center St, Orem, UT 84057-5207 Ph: (801) 903-5903

Reviews and Comments

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Caitlin Aubrey Bozek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 E 800 N Ste 101, Orem, UT 84097 Phone: 801-742-8439
Amanda Lee Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W 400 N Ste 4, Orem, UT 84057 Phone: 801-714-3388
Abby Juvan Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255

Marie Blacker Blacker, PMHNP-C - Medicare Nurse Practitioner in Orem, UT