Gina Lynette Blackerby, PT is a medicare enrolled "Physical Therapist" provider in Iowa Park, Texas. She graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
620 W Bank St, Iowa Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 592-5900.
Gina Lynette Blackerby is licensed to practice in Texas (license number 1065332) 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 1689679466.
Healthcare Provider's Profile
Full Name | Gina Lynette Blackerby |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 35 Years |
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Location | 620 W Bank St, Iowa Park, Texas |
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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. |
Medical Education and Training:
- Gina Lynette Blackerby graduated from medical school in 1990
NPI Data:
- NPI Number: 1689679466
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 08/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 4981639283
- Enrollment ID: I20051005000378
Medical Identifiers
Medical identifiers for Gina Lynette Blackerby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689679466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1065332 (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. Gina Lynette Blackerby allows following entities to bill medicare on her behalf.
Provider Name | Iowa Park Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164609186 PECOS PAC ID: 4082649389 Enrollment ID: O20051005000228 |
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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. Gina Lynette Blackerby 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 |
Gina Lynette Blackerby, PT 2311 Bridwell Rd, Iowa Park, TX 76367-8104 Ph: (940) 855-8019 | Gina Lynette Blackerby, PT 620 W Bank St, Iowa Park, TX 76367-2830 Ph: (940) 592-5900 |
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