Donna Blackburn, is a medicare enrolled "Nurse Practitioner - Family" in Crooksville, Ohio. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trinity Hospital Twin City and her current practice location is
712 China St, Crooksville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 697-0173.
Donna Blackburn is licensed to practice in Ohio (license number RN319983) 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 1588109854.
Provider's Profile
| Full Name | Donna Blackburn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 712 China St, Crooksville, Ohio |
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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:
- Donna Blackburn graduated from nursing school in 2016
NPI Data:
- NPI Number: 1588109854
- Provider Enumeration Date: 12/22/2016
- Last Update Date: 12/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446516934
- Enrollment ID: I20171116001925
Medical Identifiers
Medical identifiers for Donna Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588109854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN319983 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Trinity Hospital Twin City | 6204004534 | 17 |
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. Donna Blackburn allows following entities to bill medicare on her behalf.
| Entity Name | Trinity Hospital Twin City |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992096192
PECOS PAC ID: 6204004534
Enrollment ID: O20111206000207 |
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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. Donna 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 |
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Donna Blackburn,
278 Smith Ave,
Quaker City, OH 43773-9753
Ph: (740) 679-2929 | Donna Blackburn,
712 China St,
Crooksville, OH 43731-1124
Ph: (740) 697-0173 |
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