Opal Mullings Blake, NP-C - Medicare Nurse Practitioner in Lawrenceville, GA

Opal Mullings Blake, NP-C is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gwinnett Pulmonary Group and her current practice location is 631 Professional Dr Ste 350, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 995-0630.

Opal Mullings Blake is licensed to practice in Georgia (license number RN 199200) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043629140.

Contact Information

Opal Mullings Blake, NP-C
631 Professional Dr Ste 350,
Lawrenceville, GA 30046-3370
(770) 995-0630
(770) 995-1555



Provider's Profile

Full NameOpal Mullings Blake
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location631 Professional Dr Ste 350, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Opal Mullings Blake graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043629140
  • Provider Enumeration Date: 08/04/2014
  • Last Update Date: 01/04/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2062633993
  • Enrollment ID: I20141017002324

Medical Identifiers

Medical identifiers for Opal Mullings Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043629140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN 199200 (Georgia)Primary
363L00000XNurse Practitioner RN199200 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Pulmonary Group115331761516

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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. Opal Mullings Blake allows following entities to bill medicare on her behalf.
Entity NameGwinnett Pulmonary Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801974175
PECOS PAC ID: 1153317615
Enrollment ID: O20040421001310

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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. Opal Mullings Blake 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
Opal Mullings Blake, NP-C
631 Professional Dr, Suite 350,
Lawrenceville, GA 30046

Ph: (770) 995-0630
Opal Mullings Blake, NP-C
631 Professional Dr Ste 350,
Lawrenceville, GA 30046-3370

Ph: (770) 995-0630

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› Verified 5 days ago


Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: --    
Christa Joiner, APRN, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046
Phone: 770-513-4000    
Solomon Gezahgn Abebe,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 229-299-7476    
Mrs. Susan P Whatley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046
Phone: 770-339-4225    
Mrs. Crichton Anne Hollingsworth, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043
Phone: 770-339-5999    
Ashley Lydia Mullican, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043
Phone: 770-339-5999    
Katherine A Nguyen, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043
Phone: 678-442-0205    

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