Diane Blackman, CRNP in Fountainville, PA - Medicare Nurse Practitioner

Diane Blackman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Fountainville, Pennsylvania. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peace Valley Internal Medicine Pc and her current practice location is 5039 Swamp Rd Ste 401, Fountainville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 230-8380.

Diane Blackman is licensed to practice in Pennsylvania (license number 2014022540) 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 1750784971.

Contact Information

	Diane Blackman, CRNP
	5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663
	(215) 230-8380
	(215) 230-8370

Map and Direction

Provider's Profile

Full Name	Diane Blackman
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	5039 Swamp Rd Ste 401, Fountainville, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diane Blackman graduated from nursing school in 2014

NPI Data:

NPI Number: 1750784971
Provider Enumeration Date: 10/01/2014
Last Update Date: 02/20/2019

Medicare PECOS Information:

PECOS PAC ID: 2466730692
Enrollment ID: I20180411000693

Medical Identifiers

Medical identifiers for Diane Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750784971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2014022540 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doylestown Hospital	Doylestown, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peace Valley Internal Medicine Pc	8224018569	6

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. Diane Blackman allows following entities to bill medicare on her behalf.

Entity Name	Peace Valley Internal Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578658928 PECOS PAC ID: 8224018569 Enrollment ID: O20040726000711

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. Diane Blackman 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
Diane Blackman, CRNP 5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663 Ph: (215) 230-8380	Diane Blackman, CRNP 5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663 Ph: (215) 230-8380

Reviews and Comments

Nurse Practitioner Nurses in Fountainville, PA

Mrs. Katherine Marie West Mohr, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380
Tatiana Kisluk, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370
Rachel Im, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923 Phone: 267-454-7147
Margaret Welch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380
Tara Lynn Verdolini, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923 Phone: 215-230-8390 Fax: 215-230-8392
Rene Curry, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370

Diane Blackman, CRNP - Medicare Nurse Practitioner in Fountainville, PA