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

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: July 19, 2026.

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

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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06511 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.55
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $18.88
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.

Anesthesiology (Pain Medicine)
1 LONG WHARF DR STE 212, ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS, PC
NEW HAVEN, CT 06511
Physician Assistant (Medical)
1 LONG WHARF DR STE 212, ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER
NEW HAVEN, CT 06511
Specialist
1 LONG WHARF DR STE 212, ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER
NEW HAVEN, CT 06511
Anesthesiology
1 LONG WHARF DR STE 212
NEW HAVEN, CT 06511
Physician Assistant
1 LONG WHARF DR STE 212
NEW HAVEN, CT 06511
Physician Assistant (Medical)
1 LONG WHARF DR STE 212, ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS, PC
NEW HAVEN, CT 06511
Physician Assistant (Medical)
1 LONG WHARF DR STE 212
NEW HAVEN, CT 06511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124550983, enumerated as an "individual" on March 31, 2017.

The provider is located at 1 LONG WHARF DR STE 212 NEW HAVEN, CT 06511 and the phone number is (203) 624-4208.

Physician Assistant with taxonomy code 363A00000X.