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Dina Dawson Blackstock (PAC)

Dina Dawson Blackstock (PAC) is a health care provider specializes in Physician Assistant. She is associated with medical group practice MEDEXPRESS URGENT CARE, PC - VIRGINIA and is affiliated with hospital of Centra Health, Inc.

profile-icon Basic Information

Practice Location 200 Amelon Sq, Madison Heights, VA 24572-5981, US
Practice Location Phone434-929-1095
Practice Location Fax434-929-1098
GenderFemale
Specialty InPhysician Assistant
Medical SchoolOther
Graduation Year1998
NPI ?1215153127
PECOS ID2668497215
Enrollment IDI20051012000744
Entity TypeIndividual
Enumeration Date ? Apr 18, 2007
Last Update Date ? Feb 18, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Dina Dawson Blackstock

SpecialtySpecializationLicenseLicense State
Physician Assistant 0110001206Virginia

Medicare-icon Medicare Participation of Dina Dawson Blackstock

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Dina Dawson Blackstock

Medical Group PracticeMedexpress Urgent Care, Pc - Virginia
Affiliation 1 Centra Health, Inc

legacy-id-icon Legacy Provider IDs of Dina Dawson Blackstock

Provider IdIssuer StateIssuer TypeIssuer
P00451415OtherMEDICARE RAILROAD PROVIDER NUMBER