Charles Dean Blackburn, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair, Missouri. His current practice location is
1001 Cardwell St, Saint Clair, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 629-3300.
Charles Dean Blackburn is licensed to practice in Indiana (license number 71006846A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821449679.
Provider's Profile
| Full Name | Charles Dean Blackburn |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1001 Cardwell St, Saint Clair, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Charles Dean Blackburn attended and graduated from in
NPI Data:
- NPI Number: 1821449679
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles Dean Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821449679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2016019132 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71006846A (Indiana) | 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. Charles Dean Blackburn 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 |
|---|
Charles Dean Blackburn, FNP-BC
Po Box 776084,
Chicago, IL 60677-6084
Ph: (314) 364-7586 | Charles Dean Blackburn, FNP-BC
1001 Cardwell St,
Saint Clair, MO 63077-1094
Ph: (636) 629-3300 |
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