Dr Derrick Lewis Blackwell, DO in Charlotte, NC

Dr Derrick Lewis Blackwell, DO is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Health Medical Group, Llc and his current practice location is 4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-7910.

Dr Derrick Lewis Blackwell is licensed to practice in North Carolina (license number 2014-00430) 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 1134348485.

Contact Information

	Dr Derrick Lewis Blackwell, DO
	4500 Cameron Valley Pkwy Ste 100, Charlotte, NC 28211-3542
	(704) 384-7910
	(704) 384-7914

Map and Direction

Physician's Profile

Full Name	Dr Derrick Lewis Blackwell
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina
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:

Dr Derrick Lewis Blackwell attended and graduated from Ohio University, College Of Osteopathic Medicine in 2004

NPI Data:

NPI Number: 1134348485
Provider Enumeration Date: 04/25/2007
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9133218670
Enrollment ID: I20140723002059

Medical Identifiers

Medical identifiers for Dr Derrick Lewis Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134348485	NPI	-	NPPES
011221	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101016178 (Michigan)	Secondary
207Q00000X	Family Medicine	2014-00430 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health Medical Group, Llc	1153234893	2144

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 Derrick Lewis Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Derrick Lewis Blackwell 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 Derrick Lewis Blackwell, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-8640	Dr Derrick Lewis Blackwell, DO 4500 Cameron Valley Pkwy Ste 100, Charlotte, NC 28211-3542 Ph: (704) 384-7910

Reviews and Comments

Family Medicine Doctors in Charlotte, NC

Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458

Dr Derrick Lewis Blackwell, DO - Medicare Family Practice in Charlotte, NC