Blake Olmsted, MD in Hattiesburg, MS - Medicare Allergy/immunology

Blake Olmsted, MD is a medicare enrolled "Allergy & Immunology" physician in Hattiesburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is 6414 U S Highway 98 Ste 80, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-1800.

Blake Olmsted is licensed to practice in Mississippi (license number 23912) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780948216.

Contact Information

	Blake Olmsted, MD
	6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402-7838
	(601) 261-1800
	(601) 261-1801

Map and Direction

Physician's Profile

Full Name	Blake Olmsted
Gender	Male
Speciality	Allergy/immunology
Experience	13 Years
Location	6414 U S Highway 98 Ste 80, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake Olmsted attended and graduated from University Of Mississippi School Of Medicine in 2012

NPI Data:

NPI Number: 1780948216
Provider Enumeration Date: 06/29/2012
Last Update Date: 08/11/2020

Medicare PECOS Information:

PECOS PAC ID: 2769604578
Enrollment ID: I20170803001050

Medical Identifiers

Medical identifiers for Blake Olmsted such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780948216	NPI	-	NPPES
05583609	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	23912 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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. Blake Olmsted allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Blake Olmsted 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
Blake Olmsted, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463	Blake Olmsted, MD 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402-7838 Ph: (601) 261-1800

Reviews and Comments

Allergy & Immunology Doctors in Hattiesburg, MS

Marlee Wadsworth, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402 Phone: 601-261-1800 Fax: 601-261-1801
Taylor Joseph Mabry, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5210

Blake Olmsted, MD - Medicare Allergy/immunology in Hattiesburg, MS