Charles Dean Blackburn, FNP-BC - Medicare Nurse Practitioner in Saint Clair, MO

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.

Contact Information

Charles Dean Blackburn, FNP-BC
1001 Cardwell St,
Saint Clair, MO 63077-1094
(636) 629-3300
(636) 629-7377

Map and Direction




Provider's Profile

Full NameCharles Dean Blackburn
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location1001 Cardwell St, Saint Clair, Missouri
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1821449679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016019132 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 71006846A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Total Access Urgent Care Pc8820171929107

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 AddressPractice 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


Nurse Practitioner Nurses in Saint Clair, MO

Mrs. Leah Anne Miles,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1001 Cardwell St, Saint Clair, MO 63077
Phone: 636-629-3300    

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.