Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Octavia Evette Pickett-Blakely, MD

Individual provider Internal Medicine Physician · NPI 1700941309

Octavia Evette Pickett-Blakely, MD is a Gastroenterology in Philadelphia, Pennsylvania. Qualified in 2002, 24 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd Pcam 4 S
Philadelphia, PA 19104-5127
Phone: (215) 349-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD439919 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD439919 (PA)

Record details

NPI number1700941309
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESFebruary 4, 2016

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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