Cassandra Blackwell, PA is a medicare enrolled "Physician Assistant" in Tuolumne, California. 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 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 1265476964.
Provider's Profile
| Full Name | Cassandra Blackwell |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 18880 Cherry Valley Blvd., Tuolumne, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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