Ms Jacqueline Beth Blackburn, NP-C - Medicare Nurse Practitioner in Knoxville, TN

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Ms Jacqueline Beth Blackburn, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Knoxville, Tennessee. Her current practice location is 2018 Western Ave, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 544-0406.

Ms Jacqueline Beth Blackburn is licensed to practice in Tennessee (license number APN22416) 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 1326578725.

Contact Information

Ms Jacqueline Beth Blackburn, NP-C
2018 Western Ave,
Knoxville, TN 37921-5718
(865) 544-0406
(865) 544-0480

Map and Direction




Provider's Profile

Full NameMs Jacqueline Beth Blackburn
GenderFemale
SpecialityNurse Practitioner - Family
Location2018 Western Ave, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326578725
  • Provider Enumeration Date: 06/18/2017
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840565172
  • Enrollment ID: I20171012000443

Medical Identifiers

Medical identifiers for Ms Jacqueline Beth Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326578725NPI-NPPES
AP134132OtherTXTEXAS BOARD OF NURSING
F01171364OtherTXAMERICAN ACADEMY OF NURSE PRACTITIONERS-CERTIFICATION BOARD
3787640-01MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP134132 (Texas)Secondary
363LF0000XNurse Practitioner - Family APN22416 (Tennessee)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. Ms Jacqueline Beth Blackburn allows following entities to bill medicare on her behalf.
Entity NameUnited Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710980669
PECOS PAC ID: 7618957135
Enrollment ID: O20040817000497

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. Ms Jacqueline Beth 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 AddressPractice Location Address
Ms Jacqueline Beth Blackburn, NP-C
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654

Ph: (423) 317-9344		Ms Jacqueline Beth Blackburn, NP-C
2018 Western Ave,
Knoxville, TN 37921-5718

Ph: (865) 544-0406

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.