Dr Martin Blackwell, DO is a medicare enrolled "Dermatology" physician in Hopatcong, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Dermatology. His current practice location is
109 Maxim Dr, Hopatcong, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 222-2719.
Dr Martin Blackwell is licensed to practice in New Jersey (license number 25MB05321100) 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 1356330534.
Physician's Profile
| Full Name | Dr Martin Blackwell |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 37 Years |
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| Location | 109 Maxim Dr, Hopatcong, New Jersey |
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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. |
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Medical Education and Training:
- Dr Martin Blackwell attended and graduated from Rowan University School Of Osteopathic Medicine in 1988
NPI Data:
- NPI Number: 1356330534
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890691794
- Enrollment ID: I20240625003481
Medical Identifiers
Medical identifiers for Dr Martin Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356330534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 25MB05321100 (New Jersey) | 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 Martin Blackwell allows following entities to bill medicare on his behalf.
| Entity Name | Blackwell Derm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447016555
PECOS PAC ID: 8628512118
Enrollment ID: O20240625003358 |
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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 Martin 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 |
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Dr Martin Blackwell, DO
136 Woodside Ave,
Newton, NJ 07860-2313
Ph: (973) 300-0555 | Dr Martin Blackwell, DO
109 Maxim Dr,
Hopatcong, NJ 07843-1900
Ph: (973) 222-2719 |
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