Cassandra Blackwell, PA is a
Physician Assistant based in Tuolumne, California. Cassandra Blackwell is licensed to practice in California (license number PA15883) and her current practice location is
18880 Cherry Valley Blvd., Tuolumne, California. She can be reached at her office (for appointments etc.) via phone at
(209) 928-5400.
NPI number for Cassandra Blackwell is 1265476964 and her current mailing address is 18880 Cherry Valley Blvd., Tuolumne, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265476964.
Provider's Profile
| Full Name | Cassandra Blackwell |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 18880 Cherry Valley Blvd., Tuolumne, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265476964
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 04/23/2008
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
NOT enrolled with medicare and thus cannot 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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