Bonnie Blackman, MD is a medicare enrolled "Anesthesiology" physician in Demarest, New Jersey. Her current practice location is
1 Frick Dr, Demarest, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(845) 406-1347.
Bonnie Blackman is licensed to practice in New Jersey (license number 25MA05869500) 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 1780752253.
Physician's Profile
Full Name | Bonnie Blackman |
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Gender | Female |
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Speciality | Anesthesiology |
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Location | 1 Frick Dr, Demarest, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780752253
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 09/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 5496709693
- Enrollment ID: I20050310000462
Medical Identifiers
Medical identifiers for Bonnie Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780752253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 25MA05869500 (New Jersey) | 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. Bonnie Blackman 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 |
Bonnie Blackman, MD Po Box 476, Cresskill, NJ 07626-0476 Ph: (845) 406-1347 | Bonnie Blackman, MD 1 Frick Dr, Demarest, NJ 07627-1326 Ph: (845) 406-1347 |
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