Dr Michael Alan Blackburn, DO - Medicare Family Practice in St Louis Park, MN

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Dr Michael Alan Blackburn, DO is a medicare enrolled "Family Medicine" physician in St Louis Park, Minnesota. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healthpartners Medical Group, Park Nicollet Clinic and his current practice location is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 883-1000.

Dr Michael Alan Blackburn is licensed to practice in Minnesota (license number 59660) 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 1619389525.

Contact Information

Dr Michael Alan Blackburn, DO
3850 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 883-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Alan Blackburn
GenderMale
SpecialityFamily Practice
Experience11 Years
Location3850 Park Nicollet Blvd, St Louis Park, Minnesota
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 Michael Alan Blackburn graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1619389525
  • Provider Enumeration Date: 05/27/2014
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729378260
  • Enrollment ID: I20160613000266

Medical Identifiers

Medical identifiers for Dr Michael Alan Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619389525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 59660 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthpartners Medical Group17592939541430
Park Nicollet Clinic79118194381529

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 Michael Alan Blackburn allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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 Michael Alan Blackburn 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 Michael Alan Blackburn, DO
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -		Dr Michael Alan Blackburn, DO
3850 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 883-1000

Reviews and Comments


Family Medicine Doctors in St Louis Park, MN

Elisabeth Jean Mcclean, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-883-1000    
Kari Miller,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3512    
Dr. Sara Johanna Mitlyng, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426
Phone: 952-993-7700    
Dr. Wayne D Liebhard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3025    
Michael Dukinfield,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426
Phone: 952-993-7700    
Jodi Milburn,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-6666    
Mary D Wagner,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426
Phone: 952-993-7707    

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.