Kimberly Patton Blasingame, CNM - Medicare Advanced Practice Midwife in Gainesville, GA

Kimberly Patton Blasingame, CNM is a medicare enrolled "Advanced Practice Midwife" in Gainesville, Georgia. Her current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 297-2200.

Kimberly Patton Blasingame is licensed to practice in Georgia (license number RN093785) 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 1184662280.

Contact Information

Kimberly Patton Blasingame, CNM
725 Jesse Jewell Pkwy Se,
Gainesville, GA 30501-3834
(770) 297-2200
(770) 534-8139



Provider's Profile

Full NameKimberly Patton Blasingame
GenderFemale
SpecialityAdvanced Practice Midwife
Location725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184662280
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 08/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951445949
  • Enrollment ID: I20100215000039

Medical Identifiers

Medical identifiers for Kimberly Patton Blasingame such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184662280NPI-NPPES
000773649JMedicaidGA
000773649FMedicaidGA
000773649KMedicaidGA
329086OtherGAWELLCARE
10044863OtherGAAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife RN093785 (Georgia)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. Kimberly Patton Blasingame allows following entities to bill medicare on her behalf.
Entity NameThe Longstreet Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521

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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. Kimberly Patton Blasingame 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
Kimberly Patton Blasingame, CNM
Po Box 658,
Gainesville, GA 30503-0658

Ph: (770) 718-1122
Kimberly Patton Blasingame, CNM
725 Jesse Jewell Pkwy Se,
Gainesville, GA 30501-3834

Ph: (770) 297-2200

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Advanced Practice Midwife Nurses in Gainesville, GA

Vivian Clare Gradin, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Amanda Turner Driskell, RN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Ruth Sherry, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Destiny D Gilder, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139
Diane S Tandy, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1285 Sims St, Gainesville, GA 30501
Phone: 770-536-0149    Fax: 770-536-0317
Sally A. Monroe, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-297-2200    Fax: 770-534-8139

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