Diane Blackman, CRNP - Medicare Nurse Practitioner in Fountainville, PA

Diane Blackman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Fountainville, Pennsylvania. 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 Peace Valley Internal Medicine Pc and her current practice location is 5039 Swamp Rd Ste 401, Fountainville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 230-8380.

Diane Blackman is licensed to practice in Pennsylvania (license number 2014022540) 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 1750784971.

Contact Information

Diane Blackman, CRNP
5039 Swamp Rd Ste 401,
Fountainville, PA 18923-9663
(215) 230-8380
(215) 230-8370

Map and Direction




Provider's Profile

Full NameDiane Blackman
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location5039 Swamp Rd Ste 401, Fountainville, Pennsylvania
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:
  • Diane Blackman graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1750784971
  • Provider Enumeration Date: 10/01/2014
  • Last Update Date: 02/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466730692
  • Enrollment ID: I20180411000693

Medical Identifiers

Medical identifiers for Diane Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750784971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2014022540 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doylestown HospitalDoylestown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peace Valley Internal Medicine Pc82240185696

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. Diane Blackman allows following entities to bill medicare on her behalf.
Entity NamePeace Valley Internal Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578658928
PECOS PAC ID: 8224018569
Enrollment ID: O20040726000711

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. Diane Blackman 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
Diane Blackman, CRNP
5039 Swamp Rd Ste 401,
Fountainville, PA 18923-9663

Ph: (215) 230-8380
Diane Blackman, CRNP
5039 Swamp Rd Ste 401,
Fountainville, PA 18923-9663

Ph: (215) 230-8380

Reviews and Comments


Nurse Practitioner Nurses in Fountainville, PA

Mrs. Katherine Marie West Mohr, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    
Tatiana Kisluk, FNP, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    Fax: 215-230-8370
Rachel Im, MSN, CRNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923
Phone: 267-454-7147    
Margaret Welch, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923
Phone: 215-230-8380    
Tara Lynn Verdolini, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923
Phone: 215-230-8390    Fax: 215-230-8392
Rene Curry, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923
Phone: 215-230-8380    Fax: 215-230-8370

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.