Cassandra Blackwell, PA is a medicare enrolled "Physician Assistant" in Tuolumne, California. Her current practice location is
18880 Cherry Valley Blvd., Tuolumne, California. You can reach out to her office (for appointments etc.) via phone at
(209) 928-5400.
Cassandra Blackwell is licensed to practice in California (license number PA15883) 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 1265476964.
Provider's Profile
| Full Name | Cassandra Blackwell |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 18880 Cherry Valley Blvd., Tuolumne, California |
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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. |
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Medical Education and Training:
- Cassandra Blackwell attended and graduated from in
NPI Data:
- NPI Number: 1265476964
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 04/23/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Cassandra Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265476964 | NPI | - | NPPES |
| THP71070F | Medicaid | CA | |
| PA15883 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA15883 (California) | 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. Cassandra Blackwell 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 |
|---|
Cassandra Blackwell, PA
18880 Cherry Valley Blvd.,
Tuolumne, CA 95379
Ph: (209) 928-5400 | Cassandra Blackwell, PA
18880 Cherry Valley Blvd.,
Tuolumne, CA 95379
Ph: (209) 928-5400 |
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