Alicia K Blacksmith, CNP - Medicare Nurse Practitioner in Brunswick, OH

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Alicia K Blacksmith, CNP is a medicare enrolled "Nurse Practitioner" in Brunswick, Ohio. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Southwest General Medical Group Inc and her current practice location is 4065 Center Rd Ste 220, Brunswick, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 558-0070.

Alicia K Blacksmith is licensed to practice in Ohio (license number NP-18407) 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 1952776817.

Contact Information

Alicia K Blacksmith, CNP
4065 Center Rd Ste 220,
Brunswick, OH 44212-5325
(330) 558-0070
Not Available

Map and Direction




Provider's Profile

Full NameAlicia K Blacksmith
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4065 Center Rd Ste 220, Brunswick, Ohio
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:
  • Alicia K Blacksmith graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1952776817
  • Provider Enumeration Date: 12/03/2015
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395046916
  • Enrollment ID: I20151223001063

Medical Identifiers

Medical identifiers for Alicia K Blacksmith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952776817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP-18407 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southwest General Health CenterMiddleburg heights, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Southwest General Medical Group Inc8527964550182

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. Alicia K Blacksmith allows following entities to bill medicare on her behalf.
Entity NameSouthwest General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134239676
PECOS PAC ID: 8527964550
Enrollment ID: O20031210000789

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. Alicia K Blacksmith 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
Alicia K Blacksmith, CNP
Po Box 638269,
Cincinnati, OH 45263-8269

Ph: () -		Alicia K Blacksmith, CNP
4065 Center Rd Ste 220,
Brunswick, OH 44212-5325

Ph: (330) 558-0070

Reviews and Comments


Nurse Practitioner Nurses in Brunswick, OH

Alexandra M Harvan, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3574 Center Rd, Brunswick, OH 44212
Phone: 330-225-8886    
Angela Bliss, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3574 Center Rd, Brunswick, OH 44212
Phone: 303-225-8886    Fax: 330-741-7097
Rachael Bator, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4065 Center Rd Ste 220, Brunswick, OH 44212
Phone: 330-558-0070    
Mrs. Richelle Renee Brown, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3574 Center Rd, Brunswick, OH 44212
Phone: 330-225-8886    
Michelle Konstantinovsky, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4065 Center Rd Ste 220, Brunswick, OH 44212
Phone: 330-558-0070    
Andrea Marie Von Der Vellen, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1299 Industrial Pkwy N, Suite 110, Brunswick, OH 44212
Phone: 330-225-6468    
Mrs. Tracy Marie Salazar, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1299 Industrial Pkwy N, Brunswick, OH 44212
Phone: 330-225-6468    

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.