Ms Judith M Blickenstaff, FNP in Medford, OR - Medicare Nurse Practitioner

Ms Judith M Blickenstaff, FNP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. Her current practice location is 2825 East Barnett Rd, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 789-7000.

Ms Judith M Blickenstaff is licensed to practice in Oregon (license number 079043756NI) 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 1750460416.

Contact Information

	Ms Judith M Blickenstaff, FNP
	2825 East Barnett Rd, Medford, OR 97504-8332
	(541) 789-7000
	(541) 774-7954

Map and Direction

Provider's Profile

Full Name	Ms Judith M Blickenstaff
Gender	Female
Speciality	Nurse Practitioner
Location	2825 East Barnett Rd, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750460416
Provider Enumeration Date: 11/03/2006
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 9739194887
Enrollment ID: I20060213000034

Medical Identifiers

Medical identifiers for Ms Judith M Blickenstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750460416	NPI	-	NPPES
034681	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	079043756NI (Oregon)	Primary
363LF0000X	Nurse Practitioner - Family	079043756N1 (Oregon)	Secondary

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 Judith M Blickenstaff allows following entities to bill medicare on her behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

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 Judith M Blickenstaff 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
Ms Judith M Blickenstaff, FNP Po Box 4749, Medford, OR 97501-0227 Ph: (541) 789-5516	Ms Judith M Blickenstaff, FNP 2825 East Barnett Rd, Medford, OR 97504-8332 Ph: (541) 789-7000

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Ms Judith M Blickenstaff, FNP - Medicare Nurse Practitioner in Medford, OR