Carol L Bland, MD is a medicare enrolled "Family Medicine" physician in West Alexandria, Ohio. Her current practice location is
2458 New Market Banta Rd, West Alexandria, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 371-7490.
Carol L Bland is licensed to practice in Ohio (license number 35073056B) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508975632.
Physician's Profile
| Full Name | Carol L Bland |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2458 New Market Banta Rd, West Alexandria, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508975632
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436310463
- Enrollment ID: I20120418000229
Medical Identifiers
Medical identifiers for Carol L Bland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508975632 | NPI | - | NPPES |
| 2061174 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 35073056B (Ohio) | 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. Carol L Bland allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Family Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659503886
PECOS PAC ID: 5092608372
Enrollment ID: O20040203000210 |
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| Entity Name | Hometown Urgent Care Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20211014001382 |
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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. Carol L Bland 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 |
|---|
Carol L Bland, MD
2458 New Market Banta Rd,
West Alexandria, OH 45381-9708
Ph: (937) 371-7490 | Carol L Bland, MD
2458 New Market Banta Rd,
West Alexandria, OH 45381-9708
Ph: (937) 371-7490 |
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