Ms Gayle Marie Blum, PMHNP-BC FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boring, Maryland. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fishel, Watson, And Lemaire Pa, Lifebridge Community Physicians Inc and her current practice location is
14707 Old Hanover Rd, Boring, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 812-2342.
Ms Gayle Marie Blum is licensed to practice in Maryland (license number R201227) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568982940.
Provider's Profile
| Full Name | Ms Gayle Marie Blum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 14707 Old Hanover Rd, Boring, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Gayle Marie Blum graduated from nursing school in 2019
NPI Data:
- NPI Number: 1568982940
- Provider Enumeration Date: 06/26/2017
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204179047
- Enrollment ID: I20190520001795
Medical Identifiers
Medical identifiers for Ms Gayle Marie Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568982940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | R201227 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R201227 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fishel, Watson, And Lemaire Pa | 0547225237 | 7 |
| Lifebridge Community Physicians Inc | 3678751468 | 175 |
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. Ms Gayle Marie Blum allows following entities to bill medicare on her behalf.
| Entity Name | Fishel, Watson, & Lemaire Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518903905 PECOS PAC ID: 0547225237 Enrollment ID: O20041122000862 |
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| Entity Name | Lifebridge Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
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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. Ms Gayle Marie 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 |
Ms Gayle Marie Blum, PMHNP-BC FNP-BC 15272 Dover Rd, Reisterstown, MD 21136-3882 Ph: (410) 812-2342 | Ms Gayle Marie Blum, PMHNP-BC FNP-BC 14707 Old Hanover Rd, Boring, MD 21020-1000 Ph: (410) 812-2342 |
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