Tecshana Nicola Blackwood, PA
NPI 1124550983ActiveIndividual· Physician Assistant· New Haven, CT
Physician Assistant (PA) in New Haven, Connecticut, licensed in NY and CT, with an NPI issued in March 2017. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1124550983 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 31, 2017 |
| Last updated in NPPES | Apr 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 020717-1 | NY |
| Personal Emergency Response Attendant | 146D00000X | 020717 | NY |
| Physician Assistant | 363A00000X | 0038009 | CT |
| Physician Assistant, Medical | 363AM0700X | 3809 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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