Charlotte H Blackburn, CRNA in Lawrenceville, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Charlotte H Blackburn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceville, Georgia. She graduated from nursing school in 1996 and has 29 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sg Anesthesia Llc, Gsg Anesthesia Llc and her current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 514-1991.

Charlotte H Blackburn is licensed to practice in Georgia (license number RN106535) 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 1700827847.

Contact Information

	Charlotte H Blackburn, CRNA
	1000 Medical Center Blvd, Lawrenceville, GA 30046-0000
	(678) 514-1991
	(678) 514-1992

Map and Direction

Provider's Profile

Full Name	Charlotte H Blackburn
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	29 Years
Location	1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlotte H Blackburn graduated from nursing school in 1996

NPI Data:

NPI Number: 1700827847
Provider Enumeration Date: 06/09/2006
Last Update Date: 05/16/2013

Medicare PECOS Information:

PECOS PAC ID: 9638214232
Enrollment ID: I20100308000344

Medical Identifiers

Medical identifiers for Charlotte H Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700827847	NPI	-	NPPES
00720354A	Medicaid	GA
000720354E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN106535 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sg Anesthesia Llc	3072757079	10
Gsg Anesthesia Llc	5395133276	10

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. Charlotte H Blackburn allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Associates Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442

Entity Name	Sg Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053750646 PECOS PAC ID: 3072757079 Enrollment ID: O20130912000589

Entity Name	Jc Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821501206 PECOS PAC ID: 1456614627 Enrollment ID: O20180423000731

Entity Name	Gsg Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184294761 PECOS PAC ID: 5395133276 Enrollment ID: O20211026001780

Entity Name	North Atlanta Anesthesia Professionals, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371

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. Charlotte H 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
Charlotte H Blackburn, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839	Charlotte H Blackburn, CRNA 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 Ph: (678) 514-1991

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lawrenceville, GA

John G Bojack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
John D Singleton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
Mr. Charles Leroy Peacock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-4321
Dr. Souleymane Kabore, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000
Allison Reinecke Hodge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905
Jennifer D Del Bagno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
Elizabeth A Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244

Charlotte H Blackburn, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lawrenceville, GA