Question 1

What type of a medical provider is Tina Marie Blackley?

Accepted Answer

Tina Marie Blackley is a Nurse Practitioner (Family).

Question 2

Where does Tina Marie Blackley practice medicine?

Accepted Answer

Tina Marie Blackley has the following practice address:900 BROADWAY, BANGOR, ME 04401

Question 3

Does this provider have a license number?

Accepted Answer

Tina Marie Blackley has the following license number: License Number CNP171038 issued in Maine.

Question 4

Does Tina Marie Blackley accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Tina Marie Blackley have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Tina Marie Blackley a member of any Medical Groups?

Accepted Answer

Tina Marie Blackley is not affiliated with any medical groups.

Question 7

Does Tina Marie Blackley participate in PECOS?

Accepted Answer

Yes, Tina Marie Blackley participates in PECOS.

Question 8

What phone number can I call to contact Tina Marie Blackley?

Accepted Answer

You can call the following number: (207)-907-3300

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Tina Marie Blackley.

Question 10

Is Tina Marie Blackley  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 6 years ago (12/6/2019).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Tina Marie Blackley

Overview