Jennifer Blackerby, is a medicare enrolled "Physician Assistant" physician in Midland, Texas. Her current practice location is
5000 Briarwood Ave, Midland, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 682-5385.
Jennifer Blackerby is licensed to practice in * (Not Available) (license number ) 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 1144933367.
Physician's Profile
Full Name | Jennifer Blackerby |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 5000 Briarwood Ave, Midland, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144933367
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092257469
- Enrollment ID: I20240613000614
Medical Identifiers
Medical identifiers for Jennifer Blackerby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144933367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | PA17192 (Texas) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Jennifer Blackerby 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 |
Jennifer Blackerby, 5000 Briarwood Ave, Midland, TX 79707-2753 Ph: (432) 682-5385 | Jennifer Blackerby, 5000 Briarwood Ave, Midland, TX 79707-2753 Ph: (432) 682-5385 |
Reviews and Comments