Jordan Lee Blackham, PA-C - Medicare Physician Assistant in Saint George, UT

Jordan Lee Blackham, PA-C is a medicare enrolled "Physician Assistant" in Saint George, Utah. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 652 S Medical Center Dr Ste 120, Saint George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 251-3600.

Jordan Lee Blackham is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790337046.

Contact Information

Jordan Lee Blackham, PA-C
652 S Medical Center Dr Ste 120,
Saint George, UT 84790-7077
(435) 251-3600
(435) 251-3601

Map and Direction




Provider's Profile

Full NameJordan Lee Blackham
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location652 S Medical Center Dr Ste 120, Saint George, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Lee Blackham graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1790337046
  • Provider Enumeration Date: 07/16/2019
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719307008
  • Enrollment ID: I20201027001351

Medical Identifiers

Medical identifiers for Jordan Lee Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790337046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Jordan Lee Blackham 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 AddressPractice Location Address
Jordan Lee Blackham, PA-C
3155 S Hidden Valley Dr Unit 333,
Saint George, UT 84790-6986

Ph: (435) 262-0497
Jordan Lee Blackham, PA-C
652 S Medical Center Dr Ste 120,
Saint George, UT 84790-7077

Ph: (435) 251-3600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.