Marshalee Henry-blair, in Hartford, CT - Medicare Nurse Practitioner

Marshalee Henry-blair, is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 500 Albany Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 249-9625.

Marshalee Henry-blair is licensed to practice in Mississippi (license number 906816) 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 1275398554.

Contact Information

	Marshalee Henry-blair,
	500 Albany Ave, Hartford, CT 06120-2508
	(860) 249-9625
	Not Available

Map and Direction

Provider's Profile

Full Name	Marshalee Henry-blair
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Albany Ave, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275398554
Provider Enumeration Date: 02/16/2024
Last Update Date: 12/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9032647268
Enrollment ID: I20250115001797

Medical Identifiers

Medical identifiers for Marshalee Henry-blair such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275398554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	10.228774 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	906816 (Mississippi)	Primary
363L00000X	Nurse Practitioner	12.014373 (Connecticut)	Secondary
163W00000X	Registered Nurse	914540 (Mississippi)	Secondary

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. Marshalee Henry-blair allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802

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. Marshalee Henry-blair 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
Marshalee Henry-blair, 500 Albany Ave, Hartford, CT 06120-2508 Ph: () -	Marshalee Henry-blair, 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625

Reviews and Comments

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Marshalee Henry-blair, - Medicare Nurse Practitioner in Hartford, CT