MRS. TECSHANA NICOLA BLACKWOOD PA
NPI 1124550983
Physician Assistant in New Haven, CT

Q: What is Tecshana Blackwood's NPI number?

The NPI number for Tecshana Blackwood is 1124550983. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Tecshana Blackwood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 31, 2017PECOS Enrolled

1 LONG WHARF DR STE 212, NEW HAVEN, CT 06511(203) 624-4208(203) 624-4301 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2019, Mar 17, 2018, Jul 24, 2017 and 1 more (4 updates tracked since 2017).

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About Mrs. Tecshana Nicola Blackwood Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TECSHANA NICOLA BLACKWOOD PA (NPI 1124550983) is an individual physician assistant in New Haven, Connecticut, licensed in New York (020717-1) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1124550983

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. TECSHANA NICOLA BLACKWOODCredential: PA

Location Address1 LONG WHARF DR STE 212New Haven, CT 06511-5593

Mailing Address55 W 39th StreetNew York, NY 10018 · (347) 523-1091 · Fax (203) 624-4301

Phone(203) 624-4208

Fax(203) 624-4301

Sole ProprietorNo

Enumeration DateMarch 31, 2017

Last NPPES UpdateApril 23, 20194 updates tracked since enumeration

✔ NPI 1124550983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 020717-1✔ Licensed in CT · 0038009

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 020717 (NY)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3809 (CT)

1 LONG WHARF DR STE 212, New Haven, CT 06511

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Secondary Practice Location 1

Location 186 Ridgely AveFairfield, CT 06825 · Phone (347) 523-1091

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tecshana Nicola Blackwood Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYANT ALEXANDRA MEYER PA-C

Physician Assistant (Medical)

1 LONG WHARF DR STE 212
NEW HAVEN, CT 06511