Jennifer Blackerby, is a medicare enrolled "Physician Assistant" physician in Midland, Texas. Her current practice location is
3600 N Garfield St, Midland, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 620-1120.
Jennifer Blackerby is licensed to practice in * (Not Available) (license number ) 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 1144933367.
Physician's Profile
Full Name | Jennifer Blackerby |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3600 N Garfield St, Midland, Texas |
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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: 1144933367
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092257469
- Enrollment ID: I20240613000614
Medical Identifiers
Medical identifiers for Jennifer Blackerby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144933367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | PA17192 (Texas) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Jennifer Blackerby 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 |
Jennifer Blackerby, 3700 N Edwards St Apt 626, Midland, TX 79705-2712 Ph: (432) 620-1120 | Jennifer Blackerby, 3600 N Garfield St, Midland, TX 79705-6329 Ph: (432) 620-1120 |
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