Blake Erin Roseberry, FNP-BC - Medicare Nurse Practitioner in Terre Haute, IN

Blake Erin Roseberry, FNP-BC is a medicare enrolled "Nurse Practitioner" physician in Terre Haute, Indiana. Her current practice location is 1429 N 6th St Fl 4, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 242-3175.

Blake Erin Roseberry is licensed to practice in Indiana (license number 28205992A) 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 1932810751.

Contact Information

Blake Erin Roseberry, FNP-BC
1429 N 6th St Fl 4,
Terre Haute, IN 47807-1019
(812) 242-3175
Not Available



Physician's Profile

Full NameBlake Erin Roseberry
GenderFemale
SpecialityNurse Practitioner
Location1429 N 6th St Fl 4, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932810751
  • Provider Enumeration Date: 12/13/2022
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911371448
  • Enrollment ID: I20230323000520

Medical Identifiers

Medical identifiers for Blake Erin Roseberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932810751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 28205992A (Indiana)Secondary
363L00000XNurse Practitioner 28205992A (Indiana)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. Blake Erin Roseberry allows following entities to bill medicare on her behalf.
Entity NameUnion Associated Physicians Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002

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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. Blake Erin Roseberry 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
Blake Erin Roseberry, FNP-BC
1429 N 6th St Fl 4,
Terre Haute, IN 47807-1019

Ph: (812) 242-3175
Blake Erin Roseberry, FNP-BC
1429 N 6th St Fl 4,
Terre Haute, IN 47807-1019

Ph: (812) 242-3175

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