Emma Kavanaugh Blackwell, NP in Roxbury, MA - Medicare Nurse Practitioner

Emma Kavanaugh Blackwell, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Roxbury, Massachusetts. Her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Emma Kavanaugh Blackwell is licensed to practice in Massachusetts (license number RN2361944) 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 1760261135.

Contact Information

	Emma Kavanaugh Blackwell, NP
	45 Dimock St, Roxbury, MA 02119-1208
	(617) 442-8800
	(617) 541-8334

Map and Direction

Provider's Profile

Full Name	Emma Kavanaugh Blackwell
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	45 Dimock St, Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760261135
Provider Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2062867211
Enrollment ID: I20231009002179

Medical Identifiers

Medical identifiers for Emma Kavanaugh Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760261135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	RN2361944 (Massachusetts)	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. Emma Kavanaugh Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Dimock Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

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. Emma Kavanaugh Blackwell 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
Emma Kavanaugh Blackwell, NP 301 North St Apt 1, Boston, MA 02113-2141 Ph: (973) 255-7790	Emma Kavanaugh Blackwell, NP 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800

Reviews and Comments

Nurse Practitioner Nurses in Roxbury, MA

Jasmine F Haque-ahmed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000
Sandra Mccurbin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 Phone: 617-534-9509 Fax: 617-534-9948
Semere Tekie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Munroe St, Unit 2, Roxbury, MA 02119 Phone: 617-959-7911
Nesreen Ghazi Jawhari, PNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000
Miss Claudia Isabel Marquez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472
Eddie M Namugerwa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674
Julia Deaver Arnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Malcolm X Blvd, Roxbury, MA 02120 Phone: 617-534-9951

Emma Kavanaugh Blackwell, NP - Medicare Nurse Practitioner in Roxbury, MA