Penny Blake, APRN in Henderson, TX - Medicare Nurse Practitioner

Penny Blake, APRN is a medicare enrolled "Nurse Practitioner - Family" in Henderson, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Total Point - Desoto Llc, Christus Trinity Clinic and her current practice location is 1600 Us Highway 79 S, Henderson, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 717-3260.

Penny Blake is licensed to practice in Texas (license number AP132551) 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 1215489935.

Contact Information

	Penny Blake, APRN
	1600 Us Highway 79 S, Henderson, TX 75654-4508
	(903) 717-3260
	Not Available

Map and Direction

Provider's Profile

Full Name	Penny Blake
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1600 Us Highway 79 S, Henderson, Texas
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:

Penny Blake graduated from nursing school in 2016

NPI Data:

NPI Number: 1215489935
Provider Enumeration Date: 10/28/2016
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1254613615
Enrollment ID: I20170119000245

Medical Identifiers

Medical identifiers for Penny Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215489935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP132551 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Point - Desoto Llc	0749679702	18
Christus Trinity Clinic	3072426741	1246

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. Penny Blake allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Longview Wellness Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046

Entity Name	Qv Urgent Care Tx Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781

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. Penny Blake 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
Penny Blake, APRN Po Box 1022, Waynesboro, TN 38485-1022 Ph: (931) 722-2369	Penny Blake, APRN 1600 Us Highway 79 S, Henderson, TX 75654-4508 Ph: (903) 717-3260

Reviews and Comments

Nurse Practitioner Nurses in Henderson, TX

Ms. Jennifer S Melendez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Zeid Blvd Bldg 2, Henderson, TX 75652 Phone: 903-615-5612
Mrs. Samantha Bowers Comeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654 Phone: 903-392-8203
Mica Ladon Norman, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 Fax: 903-657-6072
Tad Wayland Titlow, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 North High Street, Henderson, TX 75652 Phone: 903-392-8259 Fax: 903-392-8013
Mrs. Amberly Hopson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 U.s. 259, Henderson, TX 75654 Phone: 903-392-8203
Wendi Amber Wolfe, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654 Phone: 903-392-8203 Fax: 866-835-6516

Penny Blake, APRN - Medicare Nurse Practitioner in Henderson, TX