Dr Mark Edward Blackwood, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cleveland, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Delta Obstetrics And Gynecology Pa, Obhg Mississippi Pc and his current practice location is
801 First St, Cleveland, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 843-0880.
Dr Mark Edward Blackwood is licensed to practice in Mississippi (license number 13157) 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 1558456764.
Physician's Profile
Full Name | Dr Mark Edward Blackwood |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 33 Years |
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Location | 801 First St, Cleveland, Mississippi |
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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 Mark Edward Blackwood attended and graduated from University Of Mississippi School Of Medicine in 1991
NPI Data:
- NPI Number: 1558456764
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 02/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971664020
- Enrollment ID: I20101229000222
Medical Identifiers
Medical identifiers for Dr Mark Edward Blackwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558456764 | NPI | - | NPPES |
00114916 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 13157 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Delta Obstetrics And Gynecology Pa | 6800957952 | 2 |
Obhg Mississippi Pc | 7416120407 | 11 |
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 Mark Edward Blackwood allows following entities to bill medicare on his behalf.
Entity Name | North Sunflower Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
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Entity Name | Delta Obstetrics & Gynecology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083827315 PECOS PAC ID: 6800957952 Enrollment ID: O20081208000154 |
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Entity Name | Obhg Mississippi Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
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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 Mark Edward Blackwood 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 Mark Edward Blackwood, MD 801 1st St, Cleveland, MS 38732-2398 Ph: (662) 843-0880 | Dr Mark Edward Blackwood, MD 801 First St, Cleveland, MS 38732 Ph: (662) 843-0880 |
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