Mr Bobby R Blum, ANP-C in Greenville, IL - Medicare Nurse Practitioner

Mr Bobby R Blum, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Greenville, Illinois. His current practice location is 200 Health Care Dr, Greenville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 664-1230.

Mr Bobby R Blum is licensed to practice in Illinois (license number 209010152) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235403643.

Contact Information

	Mr Bobby R Blum, ANP-C
	200 Health Care Dr, Greenville, IL 62246-1154
	(618) 664-1230
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bobby R Blum
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	200 Health Care Dr, Greenville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235403643
Provider Enumeration Date: 03/02/2012
Last Update Date: 05/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7618139106
Enrollment ID: I20120430000102

Medical Identifiers

Medical identifiers for Mr Bobby R Blum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235403643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209010152 (Illinois)	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. Mr Bobby R Blum allows following entities to bill medicare on his behalf.

Entity Name	Critical Care Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942256250 PECOS PAC ID: 8729992060 Enrollment ID: O20040601000414

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. Mr Bobby R Blum 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
Mr Bobby R Blum, ANP-C 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 Ph: (618) 257-6200	Mr Bobby R Blum, ANP-C 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230

Reviews and Comments

Nurse Practitioner Nurses in Greenville, IL

Ms. Tawny Nicole Thomas, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239
Mrs. Cynthia K. Gray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Healthcare Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239
Darah Dodt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230
Mrs. Angela Veanne Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239
Mrs. Kathleen Alma Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2531 Fax: 618-664-2553
Mrs. Julie M Doll, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380

Mr Bobby R Blum, ANP-C - Medicare Nurse Practitioner in Greenville, IL