Emily Nikole Blackburn, in Springfield, MO - Medicare Nurse Practitioner

Emily Nikole Blackburn, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Missouri. Her current practice location is 960 E Walnut Lawn St Ste 200, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-3900.

Emily Nikole Blackburn is licensed to practice in Missouri (license number 2022047562) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326751793.

Contact Information

	Emily Nikole Blackburn,
	960 E Walnut Lawn St Ste 200, Springfield, MO 65807-7865
	(417) 269-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Nikole Blackburn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	960 E Walnut Lawn St Ste 200, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326751793
Provider Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5698146710
Enrollment ID: I20230126002998

Medical Identifiers

Medical identifiers for Emily Nikole Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326751793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022047562 (Missouri)	Primary

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. Emily Nikole Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164595153 PECOS PAC ID: 5799787784 Enrollment ID: O20070205000198

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. Emily Nikole 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
Emily Nikole Blackburn, 960 E Walnut Lawn St Ste 200, Springfield, MO 65807-7865 Ph: () -	Emily Nikole Blackburn, 960 E Walnut Lawn St Ste 200, Springfield, MO 65807-7865 Ph: (417) 269-3900

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Emily Nikole Blackburn, - Medicare Nurse Practitioner in Springfield, MO