Mrs Vickie Marie Blackburn, NP in Rock Hill, SC

Mrs Vickie Marie Blackburn, NP is a medicare enrolled "Nurse Practitioner" in Rock Hill, South Carolina. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Surgical Specialists Of Charlotte Pa and her current practice location is 1721 Ebenezer Rd, Ste 175, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 324-5256.

Mrs Vickie Marie Blackburn is licensed to practice in South Carolina (license number 2650) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487656708.

Contact Information

	Mrs Vickie Marie Blackburn, NP
	1721 Ebenezer Rd, Ste 175, Rock Hill, SC 29732-4103
	(803) 324-5256
	(803) 328-0440

Map and Direction

Provider's Profile

Full Name	Mrs Vickie Marie Blackburn
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	1721 Ebenezer Rd, Rock Hill, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Vickie Marie Blackburn graduated from nursing school in 2002

NPI Data:

NPI Number: 1487656708
Provider Enumeration Date: 06/01/2005
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 4981620747
Enrollment ID: I20051020000654

Medical Identifiers

Medical identifiers for Mrs Vickie Marie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487656708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2650 (South Carolina)	Primary
363LA2100X	Nurse Practitioner - Acute Care	2650 (South Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Medical Center	Rock hill, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Specialists Of Charlotte Pa	3779519285	33

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 Vickie Marie Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Surgical Specialists Of Charlotte Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20150527001094

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 Vickie Marie Blackburn 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 Vickie Marie Blackburn, NP Po Box 33369, Charlotte, NC 28233-3369 Ph: (704) 364-8100	Mrs Vickie Marie Blackburn, NP 1721 Ebenezer Rd, Ste 175, Rock Hill, SC 29732-4103 Ph: (803) 324-5256

Reviews and Comments

Nurse Practitioner Nurses in Rock Hill, SC

Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332
Miss Kristene C Diggins, FNP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 704-441-7675
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364
Marta Pacheco, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361
Andrea Blakeman, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409
Mr. Gerald Alfred Bracete, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363

Mrs Vickie Marie Blackburn, NP - Medicare Nurse Practitioner in Rock Hill, SC