Lisa Diane Blacketter, CRNA in Carbondale, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa Diane Blacketter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carbondale, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Citizens Medical Center County Of Victoria and her current practice location is 35 Albany Rd, Ste C, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 457-5111.

Lisa Diane Blacketter is licensed to practice in Illinois (license number 209010216) 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 1851630040.

Contact Information

	Lisa Diane Blacketter, CRNA
	35 Albany Rd, Ste C, Carbondale, IL 62903-7646
	(618) 457-5111
	(618) 457-6560

Map and Direction

Provider's Profile

Full Name	Lisa Diane Blacketter
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	35 Albany Rd, Carbondale, Illinois
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:

Lisa Diane Blacketter graduated from nursing school in 2012

NPI Data:

NPI Number: 1851630040
Provider Enumeration Date: 02/07/2013
Last Update Date: 02/07/2013

Medicare PECOS Information:

PECOS PAC ID: 9234375452
Enrollment ID: I20230119001483

Medical Identifiers

Medical identifiers for Lisa Diane Blacketter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851630040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209010216 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Port lavaca, TX	Hospital
De Tar Hospital Navarro	Victoria, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citizens Medical Center County Of Victoria	3577785096	85

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. Lisa Diane Blacketter allows following entities to bill medicare on her behalf.

Entity Name	Citizens Medical Center County Of Victoria
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499

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. Lisa Diane Blacketter 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
Lisa Diane Blacketter, CRNA 35 Albany Rd, Ste C, Carbondale, IL 62903-7646 Ph: (618) 457-5111	Lisa Diane Blacketter, CRNA 35 Albany Rd, Ste C, Carbondale, IL 62903-7646 Ph: (618) 457-5111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Carbondale, IL

Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Justin D Craft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128

Lisa Diane Blacketter, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Carbondale, IL