Rickey Allen Blackburn Jr, CRNP - Medicare Nurse Practitioner in Evergreen, AL

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Rickey Allen Blackburn Jr, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Evergreen, Alabama. His current practice location is 102 Edwina St, Evergreen, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 578-0220.

Rickey Allen Blackburn Jr is licensed to practice in Alabama (license number 1-131157) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841715430.

Contact Information

Rickey Allen Blackburn Jr, CRNP
102 Edwina St,
Evergreen, AL 36401-3319
(251) 578-0220
(251) 578-0223

Map and Direction




Provider's Profile

Full NameRickey Allen Blackburn Jr
GenderMale
SpecialityNurse Practitioner - Family
Location102 Edwina St, Evergreen, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841715430
  • Provider Enumeration Date: 08/04/2017
  • Last Update Date: 05/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103242268
  • Enrollment ID: I20230925000133

Medical Identifiers

Medical identifiers for Rickey Allen Blackburn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841715430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-131157 (Alabama)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. Rickey Allen Blackburn Jr allows following entities to bill medicare on his behalf.
Entity NameEvergreen Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619559812
PECOS PAC ID: 6305942145
Enrollment ID: O20230908000297

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. Rickey Allen Blackburn Jr 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
Rickey Allen Blackburn Jr, CRNP
102 Edwina St,
Evergreen, AL 36401-3319

Ph: (251) 578-0220		Rickey Allen Blackburn Jr, CRNP
102 Edwina St,
Evergreen, AL 36401-3319

Ph: (251) 578-0220

Reviews and Comments


Nurse Practitioner Nurses in Evergreen, AL

Jessica Roberts Pierce, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Edwina Street, Evergreen, AL 36401
Phone: 251-578-4300    Fax: 251-578-4307
Mrs. Yolanda Lynn Beverly, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 102 Edwina St, Evergreen, AL 36401
Phone: 251-578-0220    Fax: 251-578-0223
Chelsey Pettis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Edwina St, Evergreen, AL 36401
Phone: 251-578-0278    Fax: 251-578-1055
Mrs. Haley Nobles Falkenberry,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 97 Palm Dr, Evergreen, AL 36401
Phone: 251-230-0364    

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.