Cassandra Blackwell, PA is a medicare enrolled "Physician Assistant" in Tuolumne, California. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sonora Community Hospital and her current practice location is
18880 Cherry Valley Blvd., Tuolumne, California. You can reach out to her office (for appointments etc.) via phone at
(209) 928-5400.
Cassandra Blackwell is licensed to practice in California (license number PA15883) 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 1265476964.
Provider's Profile
| Full Name | Cassandra Blackwell |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 18880 Cherry Valley Blvd., Tuolumne, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cassandra Blackwell graduated from nursing school in 2001
NPI Data:
- NPI Number: 1265476964
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 04/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 6709968605
- Enrollment ID: I20080131000210
Medical Identifiers
Medical identifiers for Cassandra Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265476964 | NPI | - | NPPES |
| THP71070F | Medicaid | CA | |
| PA15883 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA15883 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sonora Community Hospital | 4284538505 | 117 |
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. Cassandra Blackwell 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 Address | Practice Location Address |
|---|
Cassandra Blackwell, PA
18880 Cherry Valley Blvd.,
Tuolumne, CA 95379
Ph: (209) 928-5400 | Cassandra Blackwell, PA
18880 Cherry Valley Blvd.,
Tuolumne, CA 95379
Ph: (209) 928-5400 |
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