Nikki Blackman, APN in Buffalo Grove, IL - Medicare Nurse Practitioner

Nikki Blackman, APN is a medicare enrolled "Nurse Practitioner - Family" in Buffalo Grove, Illinois. Her current practice location is 2981 Kingston Dr, Buffalo Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 332-6310.

Nikki Blackman is licensed to practice in Illinois (license number 277002683) 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 1801223987.

Contact Information

	Nikki Blackman, APN
	2981 Kingston Dr, Buffalo Grove, IL 60089-6309
	(773) 332-6310
	Not Available

Map and Direction

Provider's Profile

Full Name	Nikki Blackman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2981 Kingston Dr, Buffalo Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801223987
Provider Enumeration Date: 10/03/2013
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9537395538
Enrollment ID: I20131121001729

Medical Identifiers

Medical identifiers for Nikki Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801223987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277002683 (Illinois)	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. Nikki Blackman allows following entities to bill medicare on her behalf.

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

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. Nikki 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
Nikki Blackman, APN 2981 Kingston Dr, Buffalo Grove, IL 60089-6309 Ph: (773) 332-6310	Nikki Blackman, APN 2981 Kingston Dr, Buffalo Grove, IL 60089-6309 Ph: (773) 332-6310

Reviews and Comments

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Nikki Blackman, APN - Medicare Nurse Practitioner in Buffalo Grove, IL