Mrs Ashlee Nicole Blackaby, DNP, APRN-CRNA is a medicare enrolled "Anesthesiology" in Tulsa, Oklahoma. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Emergenchealth Pllc and her current practice location is
1120 S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 579-1000.
Mrs Ashlee Nicole Blackaby is licensed to practice in Oklahoma (license number 215224) 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 1053099226.
Provider's Profile
| Full Name | Mrs Ashlee Nicole Blackaby |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 1120 S Utica Ave, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Ashlee Nicole Blackaby graduated from nursing school in 2023
NPI Data:
- NPI Number: 1053099226
- Provider Enumeration Date: 07/07/2023
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315381464
- Enrollment ID: I20240216003269
Medical Identifiers
Medical identifiers for Mrs Ashlee Nicole Blackaby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053099226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | 122282 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 215224 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergenchealth Pllc | 1355606641 | 666 |
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 Ashlee Nicole Blackaby allows following entities to bill medicare on her behalf.
| Entity Name | Emergenchealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20190618003098 |
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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 Ashlee Nicole Blackaby 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 Ashlee Nicole Blackaby, DNP, APRN-CRNA
13900 N 3983 Dr,
Dewey, OK 74029-3906
Ph: (918) 766-2759 | Mrs Ashlee Nicole Blackaby, DNP, APRN-CRNA
1120 S Utica Ave,
Tulsa, OK 74104-4090
Ph: (918) 579-1000 |
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