Teresa Blair, APN is a
Nurse Practitioner - Family based in Warren, Illinois. Teresa Blair is licensed to practice in Illinois (license number 209005291) and her current practice location is
606 Tisdell Ave, Warren, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 745-2644.
NPI number for Teresa Blair is 1629051503 and her current mailing address is 421 W Exchange St, Po Box 268, Freeport, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629051503
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 10/18/2017
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
NOT enrolled with medicare and thus cannot 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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