Jordan D Blackwill, CRNA in Omaha, NE - Medicare Certified Registered Nurse Anesthetist (crna)

Jordan D Blackwill, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Omaha, Nebraska. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Shenandoah Medical Center and his current practice location is 6901 N 72nd St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 572-2121.

Jordan D Blackwill is licensed to practice in Nebraska (license number 68419) 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 1992191225.

Contact Information

	Jordan D Blackwill, CRNA
	6901 N 72nd St, Omaha, NE 68122-1709
	(402) 572-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan D Blackwill
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	6901 N 72nd St, Omaha, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan D Blackwill graduated from nursing school in 2015

NPI Data:

NPI Number: 1992191225
Provider Enumeration Date: 04/14/2015
Last Update Date: 04/14/2015

Medicare PECOS Information:

PECOS PAC ID: 0042530396
Enrollment ID: I20150528000144

Medical Identifiers

Medical identifiers for Jordan D Blackwill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992191225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	68419 (Nebraska)	Primary
367500000X	Nurse Anesthetist, Certified Registered	D139751 (Iowa)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shenandoah Medical Center	Shenandoah, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shenandoah Medical Center	9436063237	47

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. Jordan D Blackwill allows following entities to bill medicare on his behalf.

Entity Name	Shenandoah Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347

Entity Name	Crawford County Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1578555116 PECOS PAC ID: 7810890555 Enrollment ID: O20061104000375

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. Jordan D Blackwill 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
Jordan D Blackwill, CRNA 16478 Erskine St, Omaha, NE 68116-2523 Ph: (402) 779-5870	Jordan D Blackwill, CRNA 6901 N 72nd St, Omaha, NE 68122-1709 Ph: (402) 572-2121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Omaha, NE

Mrs. Dorothy Valasek Adley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 West Center Rd., Omaha, NE 68124 Phone: 402-391-3333
Jenna Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7500 Mercy Road, Omaha, NE 68124 Phone: 402-398-6060
Mrs. Caressa Lynn Kiichler, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372
Taylor Mueller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4000
John Michael Mccabe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 W Center Rd, Omaha, NE 68124 Phone: 402-391-3333 Fax: 402-391-8593
Dr. Cory Arden Drietz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-1633
Jeanne L. Howard, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Suite 3222, Omaha, NE 68131 Phone: 402-449-4847

Jordan D Blackwill, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Omaha, NE