Holly Angela Blackburn, in Sheffield, AL - Medicare Nurse Practitioner

Holly Angela Blackburn, is a medicare enrolled "Nurse Practitioner - Acute Care" in Sheffield, Alabama. Her current practice location is 1300 S Montgomery Ave, Sheffield, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 710-9642.

Holly Angela Blackburn is licensed to practice in Alabama (license number 1-089407) 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 1689245466.

Contact Information

	Holly Angela Blackburn,
	1300 S Montgomery Ave, Sheffield, AL 35660-6334
	(256) 710-9642
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Angela Blackburn
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1300 S Montgomery Ave, Sheffield, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689245466
Provider Enumeration Date: 07/02/2021
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5597122564
Enrollment ID: I20230606003387

Medical Identifiers

Medical identifiers for Holly Angela Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689245466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-089407 (Alabama)	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. Holly Angela Blackburn allows following entities to bill medicare on her behalf.

Entity Name	N Rao Boorgu Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780641951 PECOS PAC ID: 5294757084 Enrollment ID: O20051221000287

Entity Name	Keller Hospitalist Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235797200 PECOS PAC ID: 3870829161 Enrollment ID: O20190724002195

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. Holly Angela 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
Holly Angela Blackburn, 107 Hickory Cv, Florence, AL 35634-2306 Ph: (256) 710-9642	Holly Angela Blackburn, 1300 S Montgomery Ave, Sheffield, AL 35660-6334 Ph: (256) 710-9642

Reviews and Comments

Nurse Practitioner Nurses in Sheffield, AL

Mrs. Wendy Lanessa Orr, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Jackson Hwy Ste 259, Sheffield, AL 35660 Phone: 256-383-3372
Julie Ann Murphy, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 509-994-6537
Abbey Oliver, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 342 Cox Blvd, Sheffield, AL 35660 Phone: 256-383-4473 Fax: 256-320-7280
Mrs. Destinee Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 S Jackson Hwy Ste 100, Sheffield, AL 35660 Phone: 256-314-2550 Fax: 256-314-2551
Mary Irene Kehoe, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 422 Cox Blvd, Sheffield, AL 35660 Phone: 256-381-9055 Fax: 256-381-6101
Kristy L Oden, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 S Jackson Hwy Ste 105, Sheffield, AL 35660 Phone: 256-386-1125 Fax: 888-745-7084
Mr. Justin Keith Coan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Jackson Hwy, Suite 150, Sheffield, AL 35660 Phone: 256-386-4680 Fax: 256-386-4682

Holly Angela Blackburn, - Medicare Nurse Practitioner in Sheffield, AL