Mrs Chandra B Blanken, APRN in Blaine, TN - Medicare Nurse Practitioner

Mrs Chandra B Blanken, APRN is a medicare enrolled "Nurse Practitioner - Family" in Blaine, Tennessee. Her current practice location is 1066 Rutledge Pike, Blaine, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 933-9477.

Mrs Chandra B Blanken is licensed to practice in Tennessee (license number APN0000016569) 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 1215202320.

Contact Information

	Mrs Chandra B Blanken, APRN
	1066 Rutledge Pike, Blaine, TN 37709-3027
	(865) 933-9477
	(865) 933-9466

Map and Direction

Provider's Profile

Full Name	Mrs Chandra B Blanken
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1066 Rutledge Pike, Blaine, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215202320
Provider Enumeration Date: 03/22/2012
Last Update Date: 10/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4880840768
Enrollment ID: I20120808000643

Medical Identifiers

Medical identifiers for Mrs Chandra B Blanken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215202320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000016569 (Tennessee)	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. Mrs Chandra B Blanken allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345

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. Mrs Chandra B Blanken 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
Mrs Chandra B Blanken, APRN 620 Blount Cir, Rutledge, TN 37861-5698 Ph: (865) 850-4168	Mrs Chandra B Blanken, APRN 1066 Rutledge Pike, Blaine, TN 37709-3027 Ph: (865) 933-9477

Reviews and Comments

Nurse Practitioner Nurses in Blaine, TN

Crystal L Larrimore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-4110 Fax: 865-933-4729
Wanda Fay White, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 586 Rutledge Pike, Blaine, TN 37709 Phone: 865-705-2624
Mary C Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Emory Rd, Blaine, TN 37709 Phone: 865-933-4110 Fax: 865-933-4729
Tammy Gould, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1066 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-9477 Fax: 865-933-9466
Ms. Sharon Key Payne, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1066 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-9477 Fax: 865-933-9466
Rebecca Gail Patton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Cliff Top Rd, Blaine, TN 37709 Phone: 865-719-6290

Mrs Chandra B Blanken, APRN - Medicare Nurse Practitioner in Blaine, TN