Dr Melanie Russell Blackstock, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Malden, Massachusetts. She went to University Of Oklahoma College Of Medicine and graduated in 1987 and has 39 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ob Hospitalist Group Llc and her current practice location is
109 Commercial St, Malden, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 388-4160.
Dr Melanie Russell Blackstock is licensed to practice in Massachusetts (license number 71405) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477503571.
Physician's Profile
| Full Name | Dr Melanie Russell Blackstock |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 39 Years |
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| Location | 109 Commercial St, Malden, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Melanie Russell Blackstock attended and graduated from University Of Oklahoma College Of Medicine in 1987
NPI Data:
- NPI Number: 1477503571
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103975552
- Enrollment ID: I20210614000345
Medical Identifiers
Medical identifiers for Dr Melanie Russell Blackstock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477503571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 71405 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ob Hospitalist Group Llc | 5193866838 | 124 |
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 Melanie Russell Blackstock allows following entities to bill medicare on her behalf.
| Entity Name | Ob Hospitalist Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
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| Entity Name | Dhp Of Manatee Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134771611 PECOS PAC ID: 5799016846 Enrollment ID: O20191004000172 |
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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 Melanie Russell Blackstock 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 Melanie Russell Blackstock, MD 109 Commercial St, Malden, MA 02148-5509 Ph: (781) 388-4160 | Dr Melanie Russell Blackstock, MD 109 Commercial St, Malden, MA 02148-5509 Ph: (781) 388-4160 |
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