Dennis Sidney Blackstad, DO - Medicare Family Practice in Broken Arrow, OK

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Dennis Sidney Blackstad, DO is a medicare enrolled "Family Medicine" physician in Broken Arrow, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Family Practice. His current practice location is 511 N Aspen Ave, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 806-8050.

Dennis Sidney Blackstad is licensed to practice in Oklahoma (license number 3650) 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 1710040894.

Contact Information

Dennis Sidney Blackstad, DO
511 N Aspen Ave,
Broken Arrow, OK 74012-2220
(918) 806-8050
(918) 995-3773

Map and Direction




Physician's Profile

Full NameDennis Sidney Blackstad
GenderMale
SpecialityFamily Practice
Experience24 Years
Location511 N Aspen Ave, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dennis Sidney Blackstad attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2002
  NPI Data:
  • NPI Number: 1710040894
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 05/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3678526969
  • Enrollment ID: I20050228000026

Medical Identifiers

Medical identifiers for Dennis Sidney Blackstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710040894NPI-NPPES
100171140AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3650 (Oklahoma)Primary
207P00000XEmergency Medicine 3650 (Oklahoma)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Onhl Hospice Services, L L CDrumright, OKHospice

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. Dennis Sidney Blackstad allows following entities to bill medicare on his behalf.
Entity NameMedwise Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629604434
PECOS PAC ID: 8820410970
Enrollment ID: O20200619000314
Entity NameCharger Health Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346855640
PECOS PAC ID: 0941610240
Enrollment ID: O20201027002200

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. Dennis Sidney Blackstad 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 AddressPractice Location Address
Dennis Sidney Blackstad, DO
Po Box 342,
Broken Arrow, OK 74013-0342

Ph: (918) 806-8050		Dennis Sidney Blackstad, DO
511 N Aspen Ave,
Broken Arrow, OK 74012-2220

Ph: (918) 806-8050

Reviews and Comments


Family Medicine Doctors in Broken Arrow, OK

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Nicole Paola Mathes, MD
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John Clay Bowen, DO
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Sujan Joshi, MD
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Phone: 918-455-4541    Fax: 918-449-9743
Robert Jeffrey Wright, DO
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Christopher Jason Guinn, DO
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Phone: 918-455-4541    Fax: 918-449-9743
Bart Rider, D.O.
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Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012
Phone: 918-449-3750    Fax: 918-449-3755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.