Briana Bloembergen, CNM - Medicare Advanced Practice Midwife in Charlotte, NC

Briana Bloembergen, CNM is a medicare enrolled "Advanced Practice Midwife" in Charlotte, North Carolina. Her current practice location is 1718 E 4th St Ste 907, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 372-4000.

Briana Bloembergen is licensed to practice in North Carolina (license number 688) 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 1790101459.

Contact Information

Briana Bloembergen, CNM
1718 E 4th St Ste 907,
Charlotte, NC 28204
(704) 372-4000
(704) 334-4855



Provider's Profile

Full NameBriana Bloembergen
GenderFemale
SpecialityAdvanced Practice Midwife
Location1718 E 4th St Ste 907, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790101459
  • Provider Enumeration Date: 03/05/2014
  • Last Update Date: 06/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466684923
  • Enrollment ID: I20140415001796

Medical Identifiers

Medical identifiers for Briana Bloembergen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790101459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 688 (North Carolina)Primary
367A00000XAdvanced Practice Midwife 209011309 (Illinois)Secondary

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. Briana Bloembergen allows following entities to bill medicare on her behalf.
Entity NameLittle Company Of Mary Affiliated Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033162086
PECOS PAC ID: 5193629202
Enrollment ID: O20040127000775

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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. Briana Bloembergen 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
Briana Bloembergen, CNM
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -
Briana Bloembergen, CNM
1718 E 4th St Ste 907,
Charlotte, NC 28204

Ph: (704) 372-4000

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Advanced Practice Midwife Nurses in Charlotte, NC

Norma Ramirez,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 251 Eastway Dr, Charlotte, NC 28213
Phone: 704-446-9991    
Kathy Sharon Shields, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204
Phone: 704-446-1700    
Lori Rebecca Williamson, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278
Phone: 704-512-3860    
Michelle Kott, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Morehead Medical Dr, Suite 525, Charlotte, NC 28204
Phone: 704-355-3149    
Cynthia Spaulding Dellinger, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278
Phone: 704-512-3860    
Dana Marie Cummings, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 10628 Park Rd, Charlotte, NC 28210
Phone: 704-667-1000    
Veronica Casey Rogers, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278
Phone: 704-512-3860    

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