Mrs Angela Payne Blackman, ACNP-BC in Melbourne, FL

Mrs Angela Payne Blackman, ACNP-BC is a medicare enrolled "Nurse Practitioner" in Melbourne, Florida. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Broward Hospital District and her current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 434-1771.

Mrs Angela Payne Blackman is licensed to practice in Florida (license number ARNP9358792) 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 1396029187.

Contact Information

	Mrs Angela Payne Blackman, ACNP-BC
	1350 Hickory St, Melbourne, FL 32901-3224
	(321) 434-1771
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Angela Payne Blackman
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1350 Hickory St, Melbourne, Florida
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:

Mrs Angela Payne Blackman attended and graduated from Virginia Commonwealth University, School Of Medicine in 2011

NPI Data:

NPI Number: 1396029187
Provider Enumeration Date: 09/28/2011
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3678731395
Enrollment ID: I20170706002658

Medical Identifiers

Medical identifiers for Mrs Angela Payne Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396029187	NPI	-	NPPES
100559200	Medicaid	FL
NJ493	Other	FL	MEDICARE HF
IZ355Z	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	L138707 (Iowa)	Secondary
363L00000X	Nurse Practitioner	0024169643 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	0024169643 (Virginia)	Secondary
363L00000X	Nurse Practitioner	ARNP9358792 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital West	Pembroke pines, FL	Hospital
Memorial Regional Hospital	Hollywood, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Broward Hospital District	8123927373	534

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. Mrs Angela Payne Blackman allows following entities to bill medicare on her behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217

Entity Name	Miami Jewish Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851440218 PECOS PAC ID: 6507856614 Enrollment ID: O20040512001056

Entity Name	Accountable Care Hospitalist Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659640282 PECOS PAC ID: 3678733342 Enrollment ID: O20120404000760

Entity Name	Health First Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135

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. Mrs Angela Payne Blackman 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
Mrs Angela Payne Blackman, ACNP-BC 800 Fairway Dr Ste 300, Deerfield Beach, FL 33441-1824 Ph: (321) 434-1771	Mrs Angela Payne Blackman, ACNP-BC 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771

Reviews and Comments

Nurse Practitioner Nurses in Melbourne, FL

Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456
Mr. Donald Lee Hulen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-7243
Mrs. Nicole Wiggins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1314 Oak St, Melbourne, FL 32901 Phone: 321-727-7992 Fax: 321-727-7664
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141

Mrs Angela Payne Blackman, ACNP-BC - Medicare Nurse Practitioner in Melbourne, FL