Ms Tashya A Blacklock, PA - Medicare Physician Assistant in Dallas, TX

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Ms Tashya A Blacklock, PA is a medicare enrolled "Physician Assistant" in Dallas, Texas. Her current practice location is 5200 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 590-5706.

Ms Tashya A Blacklock is licensed to practice in Texas (license number PA08196) 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 1235470071.

Contact Information

Ms Tashya A Blacklock, PA
5200 Harry Hines Blvd,
Dallas, TX 75235-7709
(214) 590-5706
Not Available

Map and Direction




Provider's Profile

Full NameMs Tashya A Blacklock
GenderFemale
SpecialityPhysician Assistant
Location5200 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235470071
  • Provider Enumeration Date: 03/04/2013
  • Last Update Date: 03/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7416195888
  • Enrollment ID: I20130523000494

Medical Identifiers

Medical identifiers for Ms Tashya A Blacklock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235470071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA08196 (Texas)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. Ms Tashya A Blacklock allows following entities to bill medicare on her behalf.
Entity NameUniversity of Texas Southwestern Medical Center at Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameDallas County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649278995
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583
Entity NameVpa of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameBaylor College of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026664
PECOS PAC ID: 8022243971
Enrollment ID: O20131030000972

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 Tashya A Blacklock 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 AddressPractice Location Address
Ms Tashya A Blacklock, PA
Po Box 660599,
Dallas, TX 75266-0599

Ph: Not Available		Ms Tashya A Blacklock, PA
5200 Harry Hines Blvd,
Dallas, TX 75235-7709

Ph: (214) 590-5706

Reviews and Comments


Physician Assistant Nurses in Dallas, TX

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.