| Donna Blackburn, | |
|
712 China St, Crooksville, OH 43731-1124 | |
| (740) 697-0173 | |
| Not Available |
| Full Name | Donna Blackburn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 712 China St, Crooksville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588109854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN319983 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin City Medical Center | Dennison, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Hospital Twin City | 6204004534 | 12 |
| Entity Name | Trinity Hospital Twin City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992096192 PECOS PAC ID: 6204004534 Enrollment ID: O20110712000566 |
| Entity Name | Trinity Hospital Twin City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992096192 PECOS PAC ID: 6204004534 Enrollment ID: O20111206000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Blackburn, 278 Smith Ave, Quaker City, OH 43773-9753 Ph: (740) 679-2929 | Donna Blackburn, 712 China St, Crooksville, OH 43731-1124 Ph: (740) 697-0173 |
Melanie Faith Sinclair, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 712 China St, Crooksville, OH 43731 Phone: 740-982-6872 |
Arica Lynnette Reeves, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 China St, Crooksville, OH 43731 Phone: 740-697-0173 |