Montana N Blackley, CRNA in Olympia, WA - Medicare Nurse Anesthetist, Certified Registered

Montana N Blackley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Olympia, Washington. Her current practice location is 209 Lilly Rd Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-8250.

Montana N Blackley is licensed to practice in Washington (license number AP60877588) 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 1386095891.

Contact Information

	Montana N Blackley, CRNA
	209 Lilly Rd Ne, Olympia, WA 98506-5030
	(360) 413-8250
	(360) 413-8850

Map and Direction

Provider's Profile

Full Name	Montana N Blackley
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	209 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386095891
Provider Enumeration Date: 06/27/2016
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0042594129
Enrollment ID: I20181212002331

Medical Identifiers

Medical identifiers for Montana N Blackley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386095891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201344 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	22155 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP60877588 (Washington)	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. Montana N Blackley allows following entities to bill medicare on her behalf.

Entity Name	Anesis Bel-red Asc Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1851486195 PECOS PAC ID: 3870484942 Enrollment ID: O20060424000222

Entity Name	Pain Care Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144779232 PECOS PAC ID: 9537448931 Enrollment ID: O20161107001926

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. Montana N Blackley 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
Montana N Blackley, CRNA 7615 Traditions Ave Ne, Lacey, WA 98516-1335 Ph: (503) 703-7826	Montana N Blackley, CRNA 209 Lilly Rd Ne, Olympia, WA 98506-5030 Ph: (360) 413-8250

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Olympia, WA

Mr. Dennis D Snelson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 Fax: 360-413-8830
Erik C Engen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3900 Capital Mall Drive Sw, Olympia, WA 98502 Phone: 360-956-2550
Daniel Hanson, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3900 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 360-754-5858
Lori Lynn Lauro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 204, Olympia, WA 98506 Phone: 360-413-8250
Katherine A Eggers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3900 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 360-754-5858
Mrs. Donna Margaret Funk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3425 Ensign Rd. Ne Suite 310, South Sound Oral Surgery Ensign Medical Center, Olympia, WA 98506 Phone: 360-456-5678 Fax: 360-456-1238
Rachel Farney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-413-8250 Fax: 360-413-8830

Montana N Blackley, CRNA - Medicare Nurse Anesthetist, Certified Registered in Olympia, WA