Mrs Jeannie Ann Blackburn, ACNP is a medicare enrolled "Clinical Nurse Specialist" in Webster, Texas. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Webster Rehabilitation Specialists Llc and her current practice location is
500 N Kobayashi Ste C, Webster, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 936-9336.
Mrs Jeannie Ann Blackburn is licensed to practice in Texas (license number AP120132) 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 1700185378.
Provider's Profile
| Full Name | Mrs Jeannie Ann Blackburn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 500 N Kobayashi Ste C, Webster, Texas |
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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. |
Medical Education and Training:
- Mrs Jeannie Ann Blackburn graduated from nursing school in 2011
NPI Data:
- NPI Number: 1700185378
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 03/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 8123295011
- Enrollment ID: I20120117000753
Medical Identifiers
Medical identifiers for Mrs Jeannie Ann Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700185378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364S00000X | Clinical Nurse Specialist | AP120132 (Texas) | Primary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 665439 (Texas) | Secondary |
| 364SR0400X | Clinical Nurse Specialist - Rehabilitation | 665439 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Webster Rehabilitation Specialists Llc | 7315201910 | 7 |
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 Jeannie Ann Blackburn allows following entities to bill medicare on her behalf.
| Entity Name | Cls Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750305355 PECOS PAC ID: 7214962117 Enrollment ID: O20090424000109 |
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| Entity Name | Lonestar Hospital Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
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| Entity Name | Ipc Healthcare Services Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023403011 PECOS PAC ID: 3971824939 Enrollment ID: O20150603001409 |
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| Entity Name | Webster Rehabilitation Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063917268 PECOS PAC ID: 7315201910 Enrollment ID: O20180508000237 |
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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 Jeannie Ann 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 |
Mrs Jeannie Ann Blackburn, ACNP Po Box 58662, Webster, TX 77598-8662 Ph: () - | Mrs Jeannie Ann Blackburn, ACNP 500 N Kobayashi Ste C, Webster, TX 77598-4722 Ph: (281) 936-9336 |
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