Stacy L Blackburn, DO - Medicare Family Practice in Prairie Du Chien, WI

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Stacy L Blackburn, DO is a medicare enrolled "Family Medicine" physician in Prairie Du Chien, Wisconsin. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mayo Clinic Health System-southwest Wisconsin Region Inc and her current practice location is 800 Blackhawk Avenue, Prairie Du Chien, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 326-0808.

Stacy L Blackburn is licensed to practice in Wisconsin (license number 52150) 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 1952551525.

Contact Information

Stacy L Blackburn, DO
800 Blackhawk Avenue,
Prairie Du Chien, WI 53821
(608) 326-0808
(608) 326-0810

Map and Direction




Physician's Profile

Full NameStacy L Blackburn
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location800 Blackhawk Avenue, Prairie Du Chien, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy L Blackburn graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1952551525
  • Provider Enumeration Date: 09/19/2008
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961550793
  • Enrollment ID: I20090504000587

Medical Identifiers

Medical identifiers for Stacy L Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952551525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 52150 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Hlth Systm Franciscan Hlthcare SpartaSparta, WIHospital
Crossing Rivers Health Medical CenterPrairie du chien, WIHospital
Mayo Clinic Health System-franciscan Medical Center IncLa crosse, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-southwest Wisconsin Region Inc0345152443417

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. Stacy L Blackburn allows following entities to bill medicare on her behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMayo Clinic Health System-southwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684
Entity NameMayo Clinic Health System-southwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841278637
PECOS PAC ID: 0345152443
Enrollment ID: O20100506000523

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. Stacy L 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 AddressPractice Location Address
Stacy L Blackburn, DO
Po Box 1510,
Eau Claire, WI 54702-1510

Ph: (608) 785-0940		Stacy L Blackburn, DO
800 Blackhawk Avenue,
Prairie Du Chien, WI 53821

Ph: (608) 326-0808

Reviews and Comments


Family Medicine Doctors in Prairie Du Chien, WI

Walter R Boisvert, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821
Phone: 608-326-6466    
Michael J Rogge, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821
Phone: 608-326-0808    Fax: 608-326-0810
Ann L Grunwald, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 304 S Jackson St, Prairie Du Chien, WI 53821
Phone: 608-326-5459    
Dr. Mark A Grunwald, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 304 S Jackson St, Prairie Du Chien, WI 53821
Phone: 608-326-5459    
Kurt J Jorgensen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821
Phone: 608-326-6466    
Jasmin Rochell Morrison,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821
Phone: 608-326-6466    
Christopher J Mees, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821
Phone: 608-326-6466    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.