Dr Jeffrey A Blalack, MD in Memphis, TN

Dr Jeffrey A Blalack, MD is a medicare enrolled "Anesthesiology" physician in Memphis, Tennessee. His current practice location is 1265 Union Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (316) 685-6091.

Dr Jeffrey A Blalack is licensed to practice in Tennessee (license number 25520) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033175161.

Contact Information

	Dr Jeffrey A Blalack, MD
	1265 Union Ave, Memphis, TN 38104-3415
	(316) 685-6091
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey A Blalack
Gender	Male
Speciality	Anesthesiology
Location	1265 Union Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033175161
Provider Enumeration Date: 04/26/2006
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 4880886076
Enrollment ID: I20101006000590

Medical Identifiers

Medical identifiers for Dr Jeffrey A Blalack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033175161	NPI	-	NPPES
3084438	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	25520 (Tennessee)	Primary
207L00000X	Anesthesiology	24263 (Mississippi)	Secondary

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 Jeffrey A Blalack allows following entities to bill medicare on his behalf.

Entity Name	Medical Anesthesia Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679527501 PECOS PAC ID: 9436047685 Enrollment ID: O20040726000882

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 Jeffrey A Blalack 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 Jeffrey A Blalack, MD 6060 Primacy Pkwy, Suite 241, Memphis, TN 38119-5745 Ph: (901) 725-5846	Dr Jeffrey A Blalack, MD 1265 Union Ave, Memphis, TN 38104-3415 Ph: (316) 685-6091

Reviews and Comments

Anesthesiology Doctors in Memphis, TN

Dr. Joel R Slade, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657
Dr. Ruth Anne Bridges, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-682-2872
Frederick D. Jones Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5100 Poplar Ave Ste 2722, Memphis, TN 38137 Phone: 281-795-5891
Dean M Harless, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510
Meghan Vogt Burkley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 50 N Dunlap St, Memphis, TN 38103 Phone: 901-287-6060
Simindokht Hazrati, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5744 Nanjack Cir, Memphis, TN 38115 Phone: 901-797-9711 Fax: 901-797-9771

Dr Jeffrey A Blalack, MD - Medicare Anesthesiology in Memphis, TN