Sandra Gautier Blackman, PA-C is a medicare enrolled "Physician Assistant" physician in Tampa, Florida. Her current practice location is
12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(888) 663-3488.
Sandra Gautier Blackman is licensed to practice in Florida (license number PA9114259) 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 1710551478.
Physician's Profile
Full Name | Sandra Gautier Blackman |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 12902 Usf Magnolia Dr, Tampa, Florida |
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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:
- Sandra Gautier Blackman attended and graduated from in
NPI Data:
- NPI Number: 1710551478
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 11/27/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Sandra Gautier Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710551478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | PA9114259 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9114259 (Florida) | 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. Sandra Gautier 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 |
Sandra Gautier Blackman, PA-C 110 W Genesee St, Tampa, FL 33603-3629 Ph: () - | Sandra Gautier Blackman, PA-C 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (888) 663-3488 |
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