Patricia Louise Blackledge, ARNP MS | |
1015 N 18th St, Centerville, IA 52544-1170 | |
(641) 684-6896 | |
(641) 226-5759 |
Full Name | Patricia Louise Blackledge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1015 N 18th St, Centerville, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871586271 | NPI | - | NPPES |
3254342 | Medicaid | IA | |
36504 | Other | IA | WELLMARK BCBS OF IA |
420681060C4 | Other | IA | JOHN DEERE HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 097156 (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | A097156 (Iowa) | Secondary |
363L00000X | Nurse Practitioner | A097156 (Iowa) | Primary |
Entity Name | The Iowa Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346233178 PECOS PAC ID: 4082513742 Enrollment ID: O20040102000222 |
Entity Name | Grinnell Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669420501 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
Entity Name | Dallas County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861416307 PECOS PAC ID: 9931094257 Enrollment ID: O20040217000157 |
Entity Name | Clarke County Public Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023045804 PECOS PAC ID: 1951219328 Enrollment ID: O20040224000636 |
Entity Name | Audubon County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730153420 PECOS PAC ID: 7618866096 Enrollment ID: O20040312001260 |
Entity Name | Davis County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487740486 PECOS PAC ID: 3971493040 Enrollment ID: O20040319001367 |
Entity Name | Clarke County Public Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114954997 PECOS PAC ID: 1951219328 Enrollment ID: O20061104000094 |
Mailing Address | Practice Location Address |
---|---|
Patricia Louise Blackledge, ARNP MS Po Box 458, Ottumwa, IA 52501-0458 Ph: (641) 684-6896 | Patricia Louise Blackledge, ARNP MS 1015 N 18th St, Centerville, IA 52544-1170 Ph: (641) 684-6896 |
Mary E Booth, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Joseph Dr, Centerville, IA 52544 Phone: 641-856-8684 Fax: 641-548-5233 | |
Lauren Anne Drake, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 | |
Jacquelyn Stajcar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19942 Saint Joseph Dr, Centerville, IA 52544 Phone: 641-856-8684 | |
Brittany Ann Enlow, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-591-0781 | |
Mr. Kieron James Broderick, RN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 816-477-7200 | |
Laurel Lea Eicher, RN, MSN, ACGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 Fax: 877-384-3106 | |
Krista Lynn Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 E State St, Centerville, IA 52544 Phone: 641-856-6471 Fax: 641-856-2603 |