Stephanie Mccallum Blake, MSN, NNP-BC - Medicare Nurse Practitioner in Durham, NC

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Stephanie Mccallum Blake, MSN, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Durham, North Carolina. Her current practice location is 2301 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 681-5551.

Stephanie Mccallum Blake is licensed to practice in North Carolina (license number 122339) 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 1053585638.

Contact Information

Stephanie Mccallum Blake, MSN, NNP-BC
2301 Erwin Rd,
Durham, NC 27705-4699
(919) 681-5551
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Mccallum Blake
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location2301 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053585638
  • Provider Enumeration Date: 04/15/2008
  • Last Update Date: 12/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759361983
  • Enrollment ID: I20180122001583

Medical Identifiers

Medical identifiers for Stephanie Mccallum Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053585638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 930229 (North Carolina)Secondary
363LN0000XNurse Practitioner - Neonatal 122339 (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. Stephanie Mccallum Blake allows following entities to bill medicare on her behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400
Entity NameNovant Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarteret County General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760479331
PECOS PAC ID: 7517877517
Enrollment ID: O20041118000891
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156
Entity NameCarteret Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700164464
PECOS PAC ID: 5698947794
Enrollment ID: O20111014000289
Entity NameNovant Health Medical Group Coastal Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285

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. Stephanie Mccallum 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 AddressPractice Location Address
Stephanie Mccallum Blake, MSN, NNP-BC
201 E Center St Apt 401,
Mebane, NC 27302-2577

Ph: (919) 423-6885		Stephanie Mccallum Blake, MSN, NNP-BC
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: (919) 681-5551

Reviews and Comments


Nurse Practitioner Nurses in Durham, NC

Rebekah Doiron,
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Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-8111    
Jordan Mckenzie-solis, APRN, AGACNP-BC
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Practice Location: 2301 Erwin Rd, Durham, NC 27710
Phone: 919-684-8111    
Allison Gibson, MSN, ACNP-BC
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Phone: 330-472-8733    
Priscila M Tomlin,
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Phone: 919-491-4661    
Josephine Winifred Hazeley, PMHNP-BC
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Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707
Phone: 919-275-1405    
Zemoria Carter, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 4230 N Roxboro St, Durham, NC 27704
Phone: 919-477-9805    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.