Tianna Rae Blake, FNP-BC - Medicare Nurse Practitioner in Delhi, NY

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Tianna Rae Blake, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Delhi, New York. Her current practice location is 460 Andes Rd, Delhi, New York. You can reach out to her office (for appointments etc.) via phone at (607) 746-0550.

Tianna Rae Blake is licensed to practice in New York (license number F354471-01) 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 1568206340.

Contact Information

Tianna Rae Blake, FNP-BC
460 Andes Rd,
Delhi, NY 13753-7407
(607) 746-0550
Not Available

Map and Direction




Provider's Profile

Full NameTianna Rae Blake
GenderFemale
SpecialityNurse Practitioner - Family
Location460 Andes Rd, Delhi, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568206340
  • Provider Enumeration Date: 06/25/2024
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163963547
  • Enrollment ID: I20240925003261

Medical Identifiers

Medical identifiers for Tianna Rae Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568206340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F354471-01 (New York)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. Tianna Rae Blake allows following entities to bill medicare on her behalf.
Entity NameMary Imogene Bassett Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20031205000553
Entity NameMary Imogene Bassett Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20040120000834

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. Tianna Rae 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
Tianna Rae Blake, FNP-BC
9 Henry St,
Albany, NY 12203-5918

Ph: (607) 437-2227		Tianna Rae Blake, FNP-BC
460 Andes Rd,
Delhi, NY 13753-7407

Ph: (607) 746-0550

Reviews and Comments


Nurse Practitioner Nurses in Delhi, NY

Karen L Gabriel, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 460 Andes Rd, Delhi, NY 13753
Phone: 607-746-0550    Fax: 607-746-0568
Paul Brathwaite, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 460 Andes Rd, Delhi, NY 13753
Phone: 607-746-0550    Fax: 607-746-0568
Lynda L Preiser, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Main St, Foreman Hall Suny, Delhi, Delhi, NY 13753
Phone: 607-746-4690    Fax: 607-746-4141
Dr. Aaron E Wilson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1643 Bell Hill Rd, Delhi, NY 13753
Phone: 607-242-6497    
Joan Marie Khouzam-roberts, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 135 Main St, Delhi, NY 13753
Phone: 607-746-6999    
Deborah W Lumia, NPP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 266 Janke Rd, Delhi, NY 13753
Phone: 607-746-7236    Fax: 607-746-7234

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.