Patricia Blackburn, is a medicare enrolled "Physician Assistant" in Oglesby, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Saint James Hospital, Mendota Community Hospital and her current practice location is
520 W Walnut St, Oglesby, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 883-3588.
Patricia Blackburn is licensed to practice in Illinois (license number 085005712) 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 1790157642.
Provider's Profile
| Full Name | Patricia Blackburn |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 520 W Walnut St, Oglesby, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patricia Blackburn attended and graduated from Southern Illinois University School Of Medicine in 2015
NPI Data:
- NPI Number: 1790157642
- Provider Enumeration Date: 10/30/2015
- Last Update Date: 01/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264738574
- Enrollment ID: I20160314000895
Medical Identifiers
Medical identifiers for Patricia Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790157642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085005712 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint James Hospital | 0648187252 | 59 |
| Mendota Community Hospital | 2264335777 | 38 |
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. Patricia 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 |
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Patricia Blackburn,
520 W Walnut St,
Oglesby, IL 61348-1400
Ph: (815) 883-3588 | Patricia Blackburn,
520 W Walnut St,
Oglesby, IL 61348-1400
Ph: (815) 883-3588 |
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