Patricia Blackburn, is a medicare enrolled "Physician Assistant" in Oglesby, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Saint James Hospital, Mendota Community Hospital and 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 | Physician Assistant |
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| Experience | 9 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. |
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Medical Education and Training:
- Patricia Blackburn attended and graduated from Southern Illinois University School Of Medicine in 2015
NPI Data:
- NPI Number: 1790157642
- Provider Enumeration Date: 10/30/2015
- Last Update Date: 01/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264738574
- Enrollment ID: I20160314000895
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 |
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| 363A00000X | Physician Assistant | 085005712 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint James Hospital | 0648187252 | 61 |
| Mendota Community Hospital | 2264335777 | 37 |
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 |
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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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