Lisa Christine Blacklock, MD - Medicare Diagnostic Radiology in Albuquerque, NM

Lisa Christine Blacklock, MD is a medicare enrolled "Radiology - Nuclear Radiology" physician in Albuquerque, New Mexico. She went to University Of New Mexico School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice University Of New Mexico Medical Group and her current practice location is Department Of Radiology, 1 University Of New Mexico Msc10 5530, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 272-2269.

Lisa Christine Blacklock is licensed to practice in New Mexico (license number MZ2011-0401) 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 1174785364.

Contact Information

Lisa Christine Blacklock, MD
Department Of Radiology, 1 University Of New Mexico Msc10 5530,
Albuquerque, NM 87131-0001
(505) 272-2269
Not Available



Physician's Profile

Full NameLisa Christine Blacklock
GenderFemale
SpecialityDiagnostic Radiology
Experience19 Years
LocationDepartment Of Radiology, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Christine Blacklock attended and graduated from University Of New Mexico School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1174785364
  • Provider Enumeration Date: 06/28/2008
  • Last Update Date: 07/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103097175
  • Enrollment ID: I20110922000703

Medical Identifiers

Medical identifiers for Lisa Christine Blacklock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174785364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MZ2011-0401 (New Mexico)Secondary
2085N0904XRadiology - Nuclear Radiology MZ2011-0401 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of New Mexico HospitalAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of New Mexico Medical Group49817952671002

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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. Lisa Christine Blacklock allows following entities to bill medicare on her behalf.
Entity NameUnm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589

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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. Lisa Christine Blacklock 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 AddressPractice Location Address
Lisa Christine Blacklock, MD
Department Of Radiology, 1 University Of New Mexico Msc10 5530,
Albuquerque, NM 87131-0001

Ph: (505) 272-2269
Lisa Christine Blacklock, MD
Department Of Radiology, 1 University Of New Mexico Msc10 5530,
Albuquerque, NM 87131-0001

Ph: (505) 272-2269

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Radiology Doctors in Albuquerque, NM

Mark Ehrhart, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-4661    
Dr. Shaya Ansari, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110
Phone: 505-998-3096    Fax: 505-998-3100
Dr. Karen Renee Craig, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 505-272-0011    
Erika Jane Starks, MD, PHD
Radiology
Medicare: Medicare Enrolled
Practice Location: Radiology Msc 10-5530 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-6225    
Stuart Bernard Paster,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110
Phone: 505-998-1317    Fax: 505-998-1308
Danielle Eckart Sorte, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 801-641-5515    
Dr. Luis Centenera, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109
Phone: 505-332-5800    Fax: 505-332-6919

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