Ms Hayley Blackwell, PA-C is a medicare enrolled "Physician Assistant" in Sweetwater, Texas. Her current practice location is
201 E Arizona Ave, Sweetwater, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 235-8641.
Ms Hayley Blackwell is licensed to practice in Texas (license number PA05094) 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 1619042009.
Provider's Profile
| Full Name | Ms Hayley Blackwell |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 201 E Arizona Ave, Sweetwater, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619042009
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981774643
- Enrollment ID: I20080606000360
Medical Identifiers
Medical identifiers for Ms Hayley Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619042009 | NPI | - | NPPES |
| 194634501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA05094 (Texas) | Primary |
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 Hayley 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 Hayley Blackwell, PA-C 201 E Arizona Ave, Sweetwater, TX 79556-7119 Ph: (325) 235-8641 | Ms Hayley Blackwell, PA-C 201 E Arizona Ave, Sweetwater, TX 79556-7119 Ph: (325) 235-8641 |
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