Jeaninne Blackwell, PMHNP-BC - Medicare Nurse Practitioner in Towson, MD

Jeaninne Blackwell, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Towson, Maryland. Her current practice location is 1010 Dulaney Valley Rd, Towson, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 567-1117.

Jeaninne Blackwell is licensed to practice in Maryland (license number R205720) 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 1003144171.

Contact Information

Jeaninne Blackwell, PMHNP-BC
1010 Dulaney Valley Rd,
Towson, MD 21204-2702
(410) 567-1117
Not Available



Provider's Profile

Full NameJeaninne Blackwell
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1010 Dulaney Valley Rd, Towson, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003144171
  • Provider Enumeration Date: 11/30/2009
  • Last Update Date: 12/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628254992
  • Enrollment ID: I20180309000834

Medical Identifiers

Medical identifiers for Jeaninne Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003144171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2313081 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R205720 (Maryland)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. Jeaninne Blackwell allows following entities to bill medicare on her behalf.
Entity NameUhs Of Fuller Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316917222
PECOS PAC ID: 3274510003
Enrollment ID: O20040630000610

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Entity NameChild & Family Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205813540
PECOS PAC ID: 9234116583
Enrollment ID: O20040812000815

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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. Jeaninne Blackwell 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
Jeaninne Blackwell, PMHNP-BC
210 W Pennsylvania Ave Ste 100,
Towson, MD 21204-4507

Ph: (443) 201-1991
Jeaninne Blackwell, PMHNP-BC
1010 Dulaney Valley Rd,
Towson, MD 21204-2702

Ph: (410) 567-1117

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› Verified 3 days ago


Nurse Practitioner Nurses in Towson, MD

Karen Renee Vancamp, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 Dulaney Valley Rd Ste 129, Towson, MD 21204
Phone: 888-818-6595    
Kamiylah Lawson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6501 N Charles St, Towson, MD 21204
Phone: 410-938-3000    
Mr. Linda Duerr Sindler, C.R.N.P,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Towson Univ Dowell Health Ctr, 8000 York Rd, Towson, MD 21252
Phone: 410-704-2466    Fax: 410-704-3715
Gail Patricia Nuetzel, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6565 N Charles St, Suite 512, Towson, MD 21204
Phone: 410-583-0300    Fax: 410-583-0306
Ekaette Akwa,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 720 Bosley Ave, Towson, MD 21204
Phone: 410-512-3200    
Kabrina L Wilson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Osler Dr, Towson, MD 21204
Phone: 410-427-5500    

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