Dr Tamika Blackburn, MD in Wethersfield, CT - Medicare Internal Medicine

Dr Tamika Blackburn, MD is a medicare enrolled "Internal Medicine" physician in Wethersfield, Connecticut. Her current practice location is 1260 Silas Deane Hwy Ste 103, Wethersfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 563-9518.

Dr Tamika Blackburn is licensed to practice in Connecticut (license number 53376) 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 1053593079.

Contact Information

	Dr Tamika Blackburn, MD
	1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363
	(860) 563-9518
	(860) 257-0088

Map and Direction

Physician's Profile

Full Name	Dr Tamika Blackburn
Gender	Female
Speciality	Internal Medicine
Location	1260 Silas Deane Hwy Ste 103, Wethersfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053593079
Provider Enumeration Date: 11/30/2007
Last Update Date: 10/14/2019

Medicare PECOS Information:

PECOS PAC ID: 8123184751
Enrollment ID: I20141021000070

Medical Identifiers

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

Identifier	Type	State	Issuer
1053593079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	247841 (New York)	Secondary
207R00000X	Internal Medicine	53376 (Connecticut)	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. Dr Tamika Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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 Tamika 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 Tamika Blackburn, MD 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363 Ph: (860) 563-9518	Dr Tamika Blackburn, MD 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363 Ph: (860) 563-9518

Reviews and Comments

Internal Medicine Doctors in Wethersfield, CT

Dr. Thomas Andrew Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 672 Silas Deane Hwy, Kathy's Urgent Care Of Wethersfield, Wethersfield, CT 06109 Phone: 860-967-3600 Fax: 860-967-3610
Dr. Kenda Alkwatli, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-547-1278 Fax: 860-547-1301
Robert Reginio, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Jordan Ln, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0267
Komsu F Mamuya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 Fax: 860-571-6802
Maria Renna, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Jordan Ln, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0267
Fred Rubin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 Fax: 860-571-6802

Dr Tamika Blackburn, MD - Medicare Internal Medicine in Wethersfield, CT