Billie Carol Blackburn, FNP-BC is a medicare enrolled "Nurse Practitioner" in Lincolnton, Georgia. Her current practice location is
1108 Blackburn Ln, Lincolnton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(864) 993-8490.
Billie Carol Blackburn is licensed to practice in Georgia (license number 173529) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497001721.
Provider's Profile
| Full Name | Billie Carol Blackburn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1108 Blackburn Ln, Lincolnton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497001721
- Provider Enumeration Date: 07/24/2012
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395994396
- Enrollment ID: I20121008000492
Medical Identifiers
Medical identifiers for Billie Carol Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497001721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN 173529 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18651 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 173529 (Georgia) | Primary |
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. Billie Carol Blackburn allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336413954
PECOS PAC ID: 2567640915
Enrollment ID: O20110707000164 |
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| Entity Name | Umg Prompt Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457759847
PECOS PAC ID: 3779802517
Enrollment ID: O20150429001743 |
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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. Billie Carol Blackburn 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 |
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Billie Carol Blackburn, FNP-BC
1108 Blackburn Ln,
Lincolnton, GA 30817-5708
Ph: () - | Billie Carol Blackburn, FNP-BC
1108 Blackburn Ln,
Lincolnton, GA 30817-5708
Ph: (864) 993-8490 |
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