Dr Donald Wayne Blackley, MD - Medicare Anesthesiology in Charlotte, NC

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Dr Donald Wayne Blackley, MD is a medicare enrolled "Anesthesiology" physician in Charlotte, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Lake Norman Anesthesia Associates and his current practice location is 2001 Vail Ave, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 379-5956.

Dr Donald Wayne Blackley is licensed to practice in North Carolina (license number 00-38896) 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 1518920305.

Contact Information

Dr Donald Wayne Blackley, MD
2001 Vail Ave,
Charlotte, NC 28207-1219
(704) 379-5956
(704) 379-6218

Map and Direction




Physician's Profile

Full NameDr Donald Wayne Blackley
GenderMale
SpecialityAnesthesiology
Experience38 Years
Location2001 Vail Ave, Charlotte, North Carolina
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:
  • Dr Donald Wayne Blackley attended and graduated from Medical College Of Georgia School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1518920305
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 08/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264624048
  • Enrollment ID: I20101012000777

Medical Identifiers

Medical identifiers for Dr Donald Wayne Blackley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518920305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 00-38896 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Norman Regional Medical CenterMooresville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Norman Anesthesia Associates195139612625

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 Donald Wayne Blackley allows following entities to bill medicare on his behalf.
Entity NameLake Norman Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386753457
PECOS PAC ID: 1951396126
Enrollment ID: O20040416001309
Entity NameSoutheast Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538124201
PECOS PAC ID: 7719959873
Enrollment ID: O20040809001398
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856
Entity NameUnc Rockingham Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538664099
PECOS PAC ID: 6800157181
Enrollment ID: O20180605000262

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 Donald Wayne Blackley 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
Dr Donald Wayne Blackley, MD
Po Box 36351,
Charlotte, NC 28236-6351

Ph: (704) 377-5772		Dr Donald Wayne Blackley, MD
2001 Vail Ave,
Charlotte, NC 28207-1219

Ph: (704) 379-5956

Reviews and Comments


Anesthesiology Doctors in Charlotte, NC

Michael J Mcnelis, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207
Phone: 704-749-5800    Fax: 704-749-5819
Norman A Holmes, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207
Phone: 704-749-5800    Fax: 704-749-5819
Dr. James Peter Deering Iii, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277
Phone: 704-544-6920    Fax: 704-316-3061
Dr. Kim Rita Blumberg, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-749-5800    Fax: 704-749-5819
Dr. Adewunmi Abiodun Akande, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210
Phone: 704-526-0091    Fax: 980-237-6858
Dr. James Michael Doyle, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2372    Fax: 704-355-6692
Dr. Charles David Hord, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 2825 Randolph Rd, Charlotte, NC 28211
Phone: 704-377-1647    Fax: 704-358-8267

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.