Sally Blackburn, NP in Bristol, VA - Medicare Nurse Practitioner

Sally Blackburn, NP is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Virginia. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Virginia Community Health Systems Incorporated and her current practice location is 2195 Euclid Ave, Suite 6, Bristol, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 669-5179.

Sally Blackburn is licensed to practice in Virginia (license number 0024164957) 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 1700857216.

Contact Information

	Sally Blackburn, NP
	2195 Euclid Ave, Suite 6, Bristol, VA 24201-3655
	(276) 669-5179
	(276) 466-8870

Map and Direction

Provider's Profile

Full Name	Sally Blackburn
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	2195 Euclid Ave, Bristol, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sally Blackburn graduated from nursing school in 2001

NPI Data:

NPI Number: 1700857216
Provider Enumeration Date: 02/01/2006
Last Update Date: 10/05/2016

Medicare PECOS Information:

PECOS PAC ID: 8022153642
Enrollment ID: I20140317001945

Medical Identifiers

Medical identifiers for Sally Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700857216	NPI	-	NPPES
Q006676	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024164957 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Virginia Community Health Systems Incorporated	4880502707	26

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. Sally Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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. Sally 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
Sally Blackburn, NP Po Box 729, Saltville, VA 24370-0729 Ph: (276) 496-4492	Sally Blackburn, NP 2195 Euclid Ave, Suite 6, Bristol, VA 24201-3655 Ph: (276) 669-5179

Reviews and Comments

Nurse Practitioner Nurses in Bristol, VA

Samantha Joline Fox, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Moore St Ste B, Bristol, VA 24201 Phone: 276-591-5448
Jessica N Bembry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Island Rd, Bristol, VA 24201 Phone: 276-469-4200
Chase Weaver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 North St Ste A, Bristol, VA 24201 Phone: 423-844-5300 Fax: 423-844-5310
Susan K Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 W Valley Dr, Bristol, VA 24201 Phone: 276-466-1600 Fax: 276-466-2800
Teresa A Roatsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 North St, Bristol, VA 24201 Phone: 423-844-6000 Fax: 423-844-5090
Kathy Lynne Sharp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Island Rd, Bristol, VA 24201 Phone: 276-469-4200 Fax: 276-469-4249
Stephanie Branham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Euclid Ave, Bristol, VA 24201 Phone: 276-669-5179 Fax: 276-466-8870

Sally Blackburn, NP - Medicare Nurse Practitioner in Bristol, VA