Mrs Susan Blackburn, is a
Occupational Therapist based in Ashland, Missouri. Mrs Susan Blackburn is licensed to practice in Missouri (license number 004635) and her current practice location is
303 N Main St, Ashland, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 657-2145.
NPI number for Mrs Susan Blackburn is 1427187293 and her current mailing address is 303 N Main St, Ashland, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427187293.
Healthcare Provider's Profile
| Full Name | Mrs Susan Blackburn |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 303 N Main St, Ashland, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427187293
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Susan Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427187293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 004635 (Missouri) | 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. Mrs Susan Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susan Blackburn,
303 N Main St,
Ashland, MO 65010-8904
Ph: (573) 657-2145 | Mrs Susan Blackburn,
303 N Main St,
Ashland, MO 65010-8904
Ph: (573) 657-2145 |
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