Tina Marie Blackley, APRN FNP-C - Medicare Nurse Practitioner in Bangor, ME

Tina Marie Blackley, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bangor, Maine. Her current practice location is 900 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 907-3300.

Tina Marie Blackley is licensed to practice in Maine (license number CNP171038) 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 1962937417.

Contact Information

Tina Marie Blackley, APRN FNP-C
900 Broadway,
Bangor, ME 04401
(207) 907-3300
(207) 907-1923

Map and Direction




Provider's Profile

Full NameTina Marie Blackley
GenderFemale
SpecialityNurse Practitioner - Family
Location900 Broadway, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962937417
  • Provider Enumeration Date: 04/21/2017
  • Last Update Date: 12/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305103805
  • Enrollment ID: I20171207001719

Medical Identifiers

Medical identifiers for Tina Marie Blackley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962937417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP171038 (Maine)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. Tina Marie Blackley allows following entities to bill medicare on her behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088

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. Tina Marie Blackley 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
Tina Marie Blackley, APRN FNP-C
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8560
Tina Marie Blackley, APRN FNP-C
900 Broadway,
Bangor, ME 04401

Ph: (207) 907-3300

Reviews and Comments


Nurse Practitioner Nurses in Bangor, ME

Diane M Hill, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Northeast Dr, Bangor, ME 04401
Phone: 207-275-3800    Fax: 207-275-3803
Nancy J Fishwick, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 Mckinley St, Bangor, ME 04401
Phone: 207-659-3690    
Kathrin G Hastey, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Telcom Dr, Bangor, ME 04401
Phone: 207-947-0147    Fax: 207-990-3365
Judy Splittgerber, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401
Phone: 207-947-0147    
Ms. Constance E Russell, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401
Phone: 207-973-6100    Fax: 207-973-6109
Maegan L Woodman, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401
Phone: 207-947-0147    Fax: 207-990-3365
Mrs. Alexandria Elizabeth Redmond,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 302 Husson Ave, #2, Bangor, ME 04401
Phone: 207-941-2373    Fax: 207-941-8803

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.