Dr Allie Kieran Blackburn, MD in Los Angeles, CA

Dr Allie Kieran Blackburn, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 1516 Cotner Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 445-2951.

Dr Allie Kieran Blackburn is licensed to practice in California (license number A89524) 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 1649310780.

Contact Information

	Dr Allie Kieran Blackburn, MD
	1516 Cotner Ave, Los Angeles, CA 90025-3303
	(310) 445-2951
	(310) 479-1459

Map and Direction

Physician's Profile

Full Name	Dr Allie Kieran Blackburn
Gender	Female
Speciality	Diagnostic Radiology
Experience	23 Years
Location	1516 Cotner Ave, Los Angeles, California
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:

Dr Allie Kieran Blackburn attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2001

NPI Data:

NPI Number: 1649310780
Provider Enumeration Date: 02/07/2007
Last Update Date: 05/11/2009

Medicare PECOS Information:

PECOS PAC ID: 8820195217
Enrollment ID: I20070518000491

Medical Identifiers

Medical identifiers for Dr Allie Kieran Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649310780	NPI	-	NPPES
00A895240	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A89524 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital
Loma Linda University Medical Center-murrieta	Murrieta, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Dr Allie Kieran Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Dr Allie Kieran 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
Dr Allie Kieran Blackburn, MD 1516 Cotner Ave, Los Angeles, CA 90025-3303 Ph: (310) 445-2951	Dr Allie Kieran Blackburn, MD 1516 Cotner Ave, Los Angeles, CA 90025-3303 Ph: (310) 445-2951

Reviews and Comments

Radiology Doctors in Los Angeles, CA

Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571
Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459

Dr Allie Kieran Blackburn, MD - Medicare Diagnostic Radiology in Los Angeles, CA