Blair Kaichen Duddy, MD in Las Vegas, NV

Blair Kaichen Duddy, MD is a medicare enrolled "Pediatrics" physician in Las Vegas, Nevada. His current practice location is 2704 N Tenaya Way, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 243-8500.

Blair Kaichen Duddy is licensed to practice in Nevada (license number 7316) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063414761.

Contact Information

	Blair Kaichen Duddy, MD
	2704 N Tenaya Way, Las Vegas, NV 89128-0424
	(702) 243-8500
	(702) 869-5347

Map and Direction

Physician's Profile

Full Name	Blair Kaichen Duddy
Gender	Male
Speciality	Pediatrics
Location	2704 N Tenaya Way, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063414761
Provider Enumeration Date: 08/11/2005
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 5799758744
Enrollment ID: I20040817001132

Medical Identifiers

Medical identifiers for Blair Kaichen Duddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063414761	NPI	-	NPPES
1063414761	Medicaid	NV
V114364	Other	NV	SSMA MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7316 (Nevada)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Blair Kaichen Duddy allows following entities to bill medicare on his behalf.

Entity Name	Southwest Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

Entity Name	Healthcare Partners Medical Group Coats Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blair Kaichen Duddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blair Kaichen Duddy, MD Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 579-3298	Blair Kaichen Duddy, MD 2704 N Tenaya Way, Las Vegas, NV 89128-0424 Ph: (702) 243-8500

Reviews and Comments

Pediatrics Doctors in Las Vegas, NV

Randi E Lampert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128 Phone: 702-228-9066
Sora Song, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109 Phone: 702-457-5437 Fax: 702-464-5801
Dr. Noah Benjamin Kohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 888-456-2467
David Blank, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144 Phone: 702-260-4525 Fax: 702-869-0133
Vicki Hom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4570 S. Eastern Ave, Suite #21, Las Vegas, NV 89119 Phone: 702-733-6033 Fax: 702-733-6033
Ms. Elsa H Von Schulenburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107 Phone: 702-851-3572 Fax: 702-851-3574
Ruben J Acherman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169 Phone: 702-732-1290 Fax: 702-732-1385

Blair Kaichen Duddy, MD - Medicare Pediatrics in Las Vegas, NV