Patricia Blackburn, is a medicare enrolled "Physician Assistant" in Oglesby, Illinois. Her current practice location is
520 W Walnut St, Oglesby, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 883-3588.
Patricia Blackburn is licensed to practice in Illinois (license number 085005712) 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 1790157642.
Provider's Profile
| Full Name | Patricia Blackburn |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 520 W Walnut St, Oglesby, Illinois |
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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:
- Patricia Blackburn attended and graduated from in
NPI Data:
- NPI Number: 1790157642
- Provider Enumeration Date: 10/30/2015
- Last Update Date: 01/26/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Patricia Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790157642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 085005712 (Illinois) | 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. Patricia 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 |
Patricia Blackburn, 520 W Walnut St, Oglesby, IL 61348-1400 Ph: (815) 883-3588 | Patricia Blackburn, 520 W Walnut St, Oglesby, IL 61348-1400 Ph: (815) 883-3588 |
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