Jason Matthew Blocksom, MD in Indianapolis, IN

Jason Matthew Blocksom, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Indianapolis, Indiana. His current practice location is 8402 Harcourt Rd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 338-6713.

Jason Matthew Blocksom is licensed to practice in Indiana (license number 01068126A) 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 1144488495.

Contact Information

	Jason Matthew Blocksom, MD
	8402 Harcourt Rd, Indianapolis, IN 46260-2074
	(317) 338-6713
	(317) 338-6615

Map and Direction

Physician's Profile

Full Name	Jason Matthew Blocksom
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	8402 Harcourt Rd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144488495
Provider Enumeration Date: 05/22/2008
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2062559297
Enrollment ID: I20100625000335

Medical Identifiers

Medical identifiers for Jason Matthew Blocksom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144488495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	01068126A (Indiana)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	01068126A (Indiana)	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. Jason Matthew Blocksom allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Physician Services Hospital And Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092

Entity Name	St Vincent Pediatric Subspecialties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627

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. Jason Matthew Blocksom 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
Jason Matthew Blocksom, MD 8402 Harcourt Rd Ste 830, Indianapolis, IN 46260-2096 Ph: () -	Jason Matthew Blocksom, MD 8402 Harcourt Rd, Indianapolis, IN 46260-2074 Ph: (317) 338-6713

Reviews and Comments

Surgery Doctors in Indianapolis, IN

Dr. Saila Thanu Pillai, MD, MS, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940
Kyle Norris Seudeal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 Phone: 317-865-4800 Fax: 317-865-4806
Shelby Lynn Allen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-0283
Dr. Stephen Neil Quigley, Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh1295, Indianapolis, IN 46202 Phone: 317-274-3086
Dr. John J. Coleman Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Dr, Eh 232, Indianapolis, IN 46202 Phone: 317-274-3636 Fax: 317-274-8746
Eric Alan Wiebke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Drive, Eh 5th Floor University Surgeons, Inc, Indianapolis, IN 46202 Phone: 317-274-3086 Fax: 317-274-0241
Raj S Lingnurkar, MD Surgery Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202 Phone: 317-944-5376

Jason Matthew Blocksom, MD - Medicare Surgery in Indianapolis, IN