Krista Blackstone, in Rochester Hills, MI - Medicare Physician Assistant

Krista Blackstone, is a medicare enrolled "Physician Assistant" in Rochester Hills, Michigan. Her current practice location is 2590 S Adams Rd, Rochester Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 810-9274.

Krista Blackstone is licensed to practice in * (Not Available) (license number ) 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 1073972741.

Contact Information

	Krista Blackstone,
	2590 S Adams Rd, Rochester Hills, MI 48309-5508
	(248) 810-9274
	Not Available

Provider's Profile

Full Name	Krista Blackstone
Gender	Female
Speciality	Physician Assistant
Location	2590 S Adams Rd, Rochester Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073972741
Provider Enumeration Date: 02/23/2016
Last Update Date: 09/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2860799798
Enrollment ID: I20160321001773

Medical Identifiers

Medical identifiers for Krista Blackstone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073972741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Krista Blackstone 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
Krista Blackstone, 9414 Wah Lo Hi Dr, Clarkston, MI 48348-3276 Ph: () -	Krista Blackstone, 2590 S Adams Rd, Rochester Hills, MI 48309-5508 Ph: (248) 810-9274

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Krista Blackstone, - Medicare Physician Assistant in Rochester Hills, MI