Mrs Julie H Blackman, CNM is a medicare enrolled "Advanced Practice Midwife" in Rock Hill, South Carolina. Her current practice location is
455 Lakeshore Pkwy Ste 500, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 909-6363.
Mrs Julie H Blackman is licensed to practice in North Carolina (license number 153218) 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 1699947689.
Provider's Profile
| Full Name | Mrs Julie H Blackman |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 455 Lakeshore Pkwy Ste 500, Rock Hill, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699947689
- Provider Enumeration Date: 03/31/2008
- Last Update Date: 10/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991876807
- Enrollment ID: I20170912002238
Medical Identifiers
Medical identifiers for Mrs Julie H Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699947689 | NPI | - | NPPES |
| 7002112 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 153218 (North Carolina) | 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. Mrs Julie H Blackman allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396881066
PECOS PAC ID: 9638101272
Enrollment ID: O20050906000190 |
|---|
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. Mrs Julie H Blackman 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 |
|---|
Mrs Julie H Blackman, CNM
1422 Doe Ridge Ln,
Fort Mill, SC 29715-8802
Ph: (336) 716-2255 | Mrs Julie H Blackman, CNM
455 Lakeshore Pkwy Ste 500,
Rock Hill, SC 29730-4205
Ph: (803) 909-6363 |
Reviews and Comments