Melanie E Blanton, FNP-C - Medicare Nurse Practitioner in Cumming, GA

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Melanie E Blanton, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. Her current practice location is 5610 Bethelview Rd Ste 500a, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 821-5376.

Melanie E Blanton is licensed to practice in Georgia (license number RN222827) 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 1427691047.

Contact Information

Melanie E Blanton, FNP-C
5610 Bethelview Rd Ste 500a,
Cumming, GA 30040-7530
(678) 821-5376
Not Available

Map and Direction




Provider's Profile

Full NameMelanie E Blanton
GenderFemale
SpecialityNurse Practitioner - Family
Location5610 Bethelview Rd Ste 500a, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427691047
  • Provider Enumeration Date: 10/27/2019
  • Last Update Date: 04/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799110987
  • Enrollment ID: I20200116000758

Medical Identifiers

Medical identifiers for Melanie E Blanton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427691047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN222827 (Georgia)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. Melanie E Blanton allows following entities to bill medicare on her behalf.
Entity NameHealth Choice Urgent Care, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679948988
PECOS PAC ID: 1951690213
Enrollment ID: O20160510001919
Entity NameAdvanced Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235614074
PECOS PAC ID: 3870847809
Enrollment ID: O20181112000024

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. Melanie E Blanton 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
Melanie E Blanton, FNP-C
3641 Schooner Rdg,
Alpharetta, GA 30005-4290

Ph: (678) 640-5751		Melanie E Blanton, FNP-C
5610 Bethelview Rd Ste 500a,
Cumming, GA 30040-7530

Ph: (678) 821-5376

Reviews and Comments


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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.