Mary Michelle Youngblood, FNP - Medicare Nurse Practitioner in Cleveland, TN

Mary Michelle Youngblood, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Cleveland, Tennessee. Her current practice location is 2085 Brentwood Trl Sw, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 284-9390.

Mary Michelle Youngblood is licensed to practice in Tennessee (license number 29529) 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 1063086452.

Contact Information

Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306
(423) 284-9390
Not Available



Provider's Profile

Full NameMary Michelle Youngblood
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location2085 Brentwood Trl Sw, Cleveland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063086452
  • Provider Enumeration Date: 05/19/2021
  • Last Update Date: 05/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628450525
  • Enrollment ID: I20220808003407

Medical Identifiers

Medical identifiers for Mary Michelle Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063086452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 29529 (Tennessee)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. Mary Michelle Youngblood allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003345

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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. Mary Michelle Youngblood 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
Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306

Ph: (423) 284-9390
Mary Michelle Youngblood, FNP
2085 Brentwood Trl Sw,
Cleveland, TN 37311-7306

Ph: (423) 284-9390

News Archive

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Nurse Practitioner Nurses in Cleveland, TN

Janet Leigh Zarzour, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3530 Keith St Nw, Cleveland, TN 37312
Phone: 615-673-6737    Fax: 800-474-4039
Miss Margie Amanda Cook, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2253 Chambliss Ave Nw, Suite 202, Cleveland, TN 37311
Phone: 423-472-3332    Fax: 423-472-3830
Marissa Lyn Withrow,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 N Ocoee St, Cleveland, TN 37311
Phone: 866-389-2727    Fax: 401-216-3854
Robert Breck Lang, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311
Phone: 423-478-1970    
Lindsey C Baxter, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1482 Old Charleston Rd Ne, Cleveland, TN 37312
Phone: 423-544-9596    
Kellye Fryar, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 463 1st St Nw, Cleveland, TN 37311
Phone: 423-790-7662    Fax: 423-790-7664

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