Dr Carolyn Ruth Blackman, MD is a medicare enrolled "Internal Medicine" physician in Hope Valley, Rhode Island. Her current practice location is
823 Main St, Hope Valley, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 387-4587.
Dr Carolyn Ruth Blackman is licensed to practice in Rhode Island (license number MD10589) 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 1396881546.
Physician's Profile
| Full Name | Dr Carolyn Ruth Blackman |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 823 Main St, Hope Valley, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396881546
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 06/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587632997
- Enrollment ID: I20040923000354
Medical Identifiers
Medical identifiers for Dr Carolyn Ruth Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396881546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | MD10589 (Rhode Island) | 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. Dr Carolyn Ruth Blackman allows following entities to bill medicare on her behalf.
| Entity Name | Tapestry Telehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20230126000086 |
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| Entity Name | Chess Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699385021 PECOS PAC ID: 6406260736 Enrollment ID: O20230818000770 |
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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. Dr Carolyn Ruth Blackman 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 |
Dr Carolyn Ruth Blackman, MD 823 Main St, Hope Valley, RI 02832-1920 Ph: (401) 387-4587 | Dr Carolyn Ruth Blackman, MD 823 Main St, Hope Valley, RI 02832-1920 Ph: (401) 387-4587 |
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