Mr Jonathon Edward Blum, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Girdwood, Alaska. He went to State University Of Ny Upstate Medical University and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Anchorage Community Mental Health Services Inc, Girdwood Health Clinic, Inc. and his current practice location is
131 Lindblad Ave., Girdwood, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 783-1355.
Mr Jonathon Edward Blum is licensed to practice in Alaska (license number 166885) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558928580.
Provider's Profile
| Full Name | Mr Jonathon Edward Blum |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 131 Lindblad Ave., Girdwood, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jonathon Edward Blum attended and graduated from State University Of Ny Upstate Medical University in 2019
NPI Data:
- NPI Number: 1558928580
- Provider Enumeration Date: 05/24/2019
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012329154
- Enrollment ID: I20201215001936
Medical Identifiers
Medical identifiers for Mr Jonathon Edward Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558928580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402628 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 166885 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anchorage Community Mental Health Services Inc | 1052213089 | 20 |
| Girdwood Health Clinic, Inc. | 4688836216 | 7 |
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 Jonathon Edward Blum allows following entities to bill medicare on his behalf.
| Entity Name | Anchorage Community Mental Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326268301
PECOS PAC ID: 1052213089
Enrollment ID: O20040121000942 |
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| Entity Name | Fairbanks Community Mental Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023445871
PECOS PAC ID: 6406085562
Enrollment ID: O20140212001626 |
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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 Jonathon Edward 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 |
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Mr Jonathon Edward Blum, NP
Po Box 1130,
Girdwood, AK 99587-1130
Ph: (907) 783-1355 | Mr Jonathon Edward Blum, NP
131 Lindblad Ave.,
Girdwood, AK 99587-1130
Ph: (907) 783-1355 |
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