Teresa Blair, APN is a medicare enrolled "Nurse Practitioner - Family" in Warren, Illinois. Her current practice location is
606 Tisdell Ave, Warren, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 745-2644.
Teresa Blair is licensed to practice in Illinois (license number 209005291) 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 1629051503.
Provider's Profile
Full Name | Teresa Blair |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 606 Tisdell Ave, Warren, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629051503
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 10/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 2466479357
- Enrollment ID: I20051031000243
Medical Identifiers
Medical identifiers for Teresa Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629051503 | NPI | - | NPPES |
209005291 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209005291 (Illinois) | Primary |
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. Teresa Blair 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 |
Teresa Blair, APN 421 W Exchange St, Po Box 268, Freeport, IL 61032-4008 Ph: (815) 599-7958 | Teresa Blair, APN 606 Tisdell Ave, Warren, IL 61087 Ph: (815) 745-2644 |
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