Ms Annie Delores Blackwell, CRNA in Eden, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Annie Delores Blackwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Eden, North Carolina. She graduated from nursing school in 1980 and has 45 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 117 E Kings Hwy, Eden, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 623-9711.

Ms Annie Delores Blackwell is licensed to practice in North Carolina (license number 072294) 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 1598811663.

Contact Information

	Ms Annie Delores Blackwell, CRNA
	117 E Kings Hwy, Eden, NC 27288-5201
	(336) 623-9711
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Annie Delores Blackwell
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	45 Years
Location	117 E Kings Hwy, Eden, North Carolina
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:

Ms Annie Delores Blackwell graduated from nursing school in 1980

NPI Data:

NPI Number: 1598811663
Provider Enumeration Date: 01/25/2007
Last Update Date: 09/14/2015

Medicare PECOS Information:

PECOS PAC ID: 6103890736
Enrollment ID: I20040820000406

Medical Identifiers

Medical identifiers for Ms Annie Delores Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598811663	NPI	-	NPPES
8051039	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	072294 (North Carolina)	Primary
367500000X	Nurse Anesthetist, Certified Registered	0024165671 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2274

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. Ms Annie Delores Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	American Anesthesiology Of North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004

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. Ms Annie Delores Blackwell 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
Ms Annie Delores Blackwell, CRNA 117 E Kings Hwy, Eden, NC 27288-5201 Ph: (336) 623-9711	Ms Annie Delores Blackwell, CRNA 117 E Kings Hwy, Eden, NC 27288-5201 Ph: (336) 623-9711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Eden, NC

Heidi Orme, MS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711
Ms. Maria Iyabodei Sorinolu-famuyiwa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711
Linda N. Haynes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660
Jane Everhart Bowman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711
Janet J. Davis, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660
Charles Garcia, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E. Kings Highway, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660

Ms Annie Delores Blackwell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Eden, NC