Roxanne Blackwell, in Round Rock, TX - Medicare Nurse Practitioner

Roxanne Blackwell, is a medicare enrolled "Nurse Practitioner" in Round Rock, Texas. Her current practice location is 2692 Bradley Ln, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 524-4071.

Roxanne Blackwell is licensed to practice in Texas (license number 1139030) 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 1972282440.

Contact Information

	Roxanne Blackwell,
	2692 Bradley Ln, Round Rock, TX 78664-4596
	(936) 524-4071
	Not Available

Map and Direction

Provider's Profile

Full Name	Roxanne Blackwell
Gender	Female
Speciality	Nurse Practitioner
Location	2692 Bradley Ln, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972282440
Provider Enumeration Date: 07/12/2023
Last Update Date: 02/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5698110534
Enrollment ID: I20240229004239

Medical Identifiers

Medical identifiers for Roxanne Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972282440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	937216 (Texas)	Secondary
363L00000X	Nurse Practitioner	1139030 (Texas)	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. Roxanne Blackwell allows following entities to bill medicare on her behalf.

Entity Name	St Davids Heart & Vascular Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103

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. Roxanne Blackwell 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
Roxanne Blackwell, 2692 Bradley Ln, Round Rock, TX 78664-4596 Ph: () -	Roxanne Blackwell, 2692 Bradley Ln, Round Rock, TX 78664-4596 Ph: (936) 524-4071

Reviews and Comments

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Roxanne Blackwell, - Medicare Nurse Practitioner in Round Rock, TX