Karian Samech Blackwood, is a medicare enrolled "Nurse Practitioner - Acute Care" in Holllywood, Florida. Her current practice location is
3501 Johnson St, Holllywood, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 987-2000.
Karian Samech Blackwood is licensed to practice in Florida (license number 11002778) 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 1689386799.
Provider's Profile
| Full Name | Karian Samech Blackwood |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 3501 Johnson St, Holllywood, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689386799
- Provider Enumeration Date: 12/20/2022
- Last Update Date: 12/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315305836
- Enrollment ID: I20230615001162
Medical Identifiers
Medical identifiers for Karian Samech Blackwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689386799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 11002778 (Florida) | 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. Karian Samech Blackwood allows following entities to bill medicare on her behalf.
| Entity Name | South Broward Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093262248
PECOS PAC ID: 8123927373
Enrollment ID: O20161206001411 |
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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. Karian Samech Blackwood 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 |
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Karian Samech Blackwood,
640 Sw 164th Ave,
Pembroke Pines, FL 33027-1086
Ph: (954) 325-0244 | Karian Samech Blackwood,
3501 Johnson St,
Holllywood, FL 33021-5421
Ph: (954) 987-2000 |
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