Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ileana Panebianco Blackburn, PA-C

Individual provider Physician Assistant · NPI 1275176604

Ileana Panebianco Blackburn, PA-C is a Physician Assistant in Johnstown, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Dlp Conemaugh Physician Practices LLC, a 284-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1020 Franklin St
Johnstown, PA 15905-4109
Phone: (814) 534-9132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060976 (PA)

Record details

NPI number1275176604
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dlp Conemaugh Physician Practices Llc — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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