Mrs Mandy Rae Blume, MS RN CGNP in Faribault, MN

Mrs Mandy Rae Blume, MS RN CGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Faribault, Minnesota. Her current practice location is 4810 197th St E, Faribault, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 333-2748.

Mrs Mandy Rae Blume is licensed to practice in Minnesota (license number R156724-1) 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 1134378433.

Contact Information

	Mrs Mandy Rae Blume, MS RN CGNP
	4810 197th St E, Faribault, MN 55021-8078
	(507) 333-2748
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mandy Rae Blume
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	4810 197th St E, Faribault, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134378433
Provider Enumeration Date: 09/11/2008
Last Update Date: 12/02/2010

Medicare PECOS Information:

PECOS PAC ID: 0244395168
Enrollment ID: I20250417001833

Medical Identifiers

Medical identifiers for Mrs Mandy Rae Blume such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134378433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R156724-1 (Minnesota)	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 Mandy Rae Blume allows following entities to bill medicare on her behalf.

Entity Name	Us Health Dept Of Health & Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399

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 Mandy Rae Blume 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 Mandy Rae Blume, MS RN CGNP 4810 197th St E, Faribault, MN 55021-8078 Ph: (507) 333-2748	Mrs Mandy Rae Blume, MS RN CGNP 4810 197th St E, Faribault, MN 55021-8078 Ph: (507) 333-2748

Reviews and Comments

Nurse Practitioner Nurses in Faribault, MN

Keri M Coon, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 State Ave, Faribault, MN 55021 Phone: 507-333-3300
Ms. Nancy Lynn Pesta Walsh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-334-6451
Michelle Crosby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921
Ms. Griselda Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 504-334-3921
Heidi Katherine Pierquet, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921
Dr. Bimala Shrestha, DNP,APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921

Mrs Mandy Rae Blume, MS RN CGNP - Medicare Nurse Practitioner in Faribault, MN