Charles Dean Blackburn, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair, Missouri. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Total Access Urgent Care Pc and his current practice location is
1001 Cardwell St, Saint Clair, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 629-3300.
Charles Dean Blackburn is licensed to practice in Indiana (license number 71006846A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821449679.
Provider's Profile
Full Name | Charles Dean Blackburn |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner |
---|
Experience | 9 Years |
---|
Location | 1001 Cardwell St, Saint Clair, Missouri |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Charles Dean Blackburn graduated from nursing school in 2015
NPI Data:
- NPI Number: 1821449679
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315220837
- Enrollment ID: I20190327002721
Medical Identifiers
Medical identifiers for Charles Dean Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821449679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2016019132 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71006846A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Total Access Urgent Care Pc | 8820171929 | 107 |
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. Charles Dean 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 Address | Practice Location Address |
Charles Dean Blackburn, FNP-BC Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 364-7586 | Charles Dean Blackburn, FNP-BC 1001 Cardwell St, Saint Clair, MO 63077-1094 Ph: (636) 629-3300 |
Reviews and Comments