Nicole Clark Bland, APRN in Greenville, NC - Medicare Nurse Practitioner

Nicole Clark Bland, APRN is a medicare enrolled "Nurse Practitioner" in Greenville, North Carolina. Her current practice location is 503 Bowman Gray Dr, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 816-4001.

Nicole Clark Bland is licensed to practice in North Carolina (license number 5016292) 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 1164161519.

Contact Information

	Nicole Clark Bland, APRN
	503 Bowman Gray Dr, Greenville, NC 27834-7286
	(252) 816-4001
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Clark Bland
Gender	Female
Speciality	Nurse Practitioner
Location	503 Bowman Gray Dr, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164161519
Provider Enumeration Date: 06/02/2022
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9234514340
Enrollment ID: I20220909001644

Medical Identifiers

Medical identifiers for Nicole Clark Bland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164161519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5016292 (North Carolina)	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. Nicole Clark Bland allows following entities to bill medicare on her behalf.

Entity Name	Duke University Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376574798 PECOS PAC ID: 2567372345 Enrollment ID: O20031126000274

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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. Nicole Clark Bland 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
Nicole Clark Bland, APRN 2819 Winton Pl, Hillsborough, NC 27278-7569 Ph: (919) 475-8893	Nicole Clark Bland, APRN 503 Bowman Gray Dr, Greenville, NC 27834-7286 Ph: (252) 816-4001

Reviews and Comments

Nurse Practitioner Nurses in Greenville, NC

Staci G. Streeter-moye, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Paladin Dr, Greenville, NC 27834 Phone: 252-752-8880 Fax: 252-752-3084
Jacqueline R Costello, DNP, RN, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Herbert Ct, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514
Walter Roger Nelson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-752-4848 Fax: 252-752-9607
Ms. Marcy Sue Speight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 S Memorial Dr, Greenville, NC 27858 Phone: 570-371-8303
Ann R Chambers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-6958
Felicia R. Richardson, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401
Mrs. Elizabeth Hayes Santiago, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2102 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378

Nicole Clark Bland, APRN - Medicare Nurse Practitioner in Greenville, NC