Jennifer E Blackmon, | |
1325 Ne 7th St, Grants Pass, OR 97526-1358 | |
(541) 460-5331 | |
(541) 460-5165 |
Full Name | Jennifer E Blackmon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1325 Ne 7th St, Grants Pass, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417583642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP145410 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alsatian Care Enterprises Llc | 2163572900 | 7 |
Entity Name | Alsatian Care Enterprises Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265674352 PECOS PAC ID: 2163572900 Enrollment ID: O20090616000707 |
Mailing Address | Practice Location Address |
---|---|
Jennifer E Blackmon, 1325 Ne 7th St, Grants Pass, OR 97526-1358 Ph: (541) 460-5331 | Jennifer E Blackmon, 1325 Ne 7th St, Grants Pass, OR 97526-1358 Ph: (541) 460-5331 |
Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620 | |
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221 | |
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010 | |
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511 | |
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533 | |
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242 | |
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638 |