Dr Patrick Wayne Blackburn, MD in Mesa, AZ - Medicare Obstetrics & Gynecology

Dr Patrick Wayne Blackburn, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Mesa, Arizona. His current practice location is 6111 E Arbor Ave, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 981-1326.

Dr Patrick Wayne Blackburn is licensed to practice in Arizona (license number 67910) 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 1972999266.

Contact Information

	Dr Patrick Wayne Blackburn, MD
	6111 E Arbor Ave, Mesa, AZ 85206-6059
	(480) 981-1326
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Patrick Wayne Blackburn
Gender	Male
Speciality	Obstetrics & Gynecology - Gynecologic Oncology
Location	6111 E Arbor Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972999266
Provider Enumeration Date: 04/13/2015
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3779898630
Enrollment ID: I20230810001826

Medical Identifiers

Medical identifiers for Dr Patrick Wayne Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972999266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	59600 (Tennessee)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	59600 (Tennessee)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	67910 (Arizona)	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 Patrick Wayne Blackburn allows following entities to bill medicare on his behalf.

Entity Name	Ironwood Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740269299 PECOS PAC ID: 3577454842 Enrollment ID: O20040324000807

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 Patrick Wayne 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 Address	Practice Location Address
Dr Patrick Wayne Blackburn, MD Po Box 6423, Chandler, AZ 85246-6423 Ph: (480) 245-6286	Dr Patrick Wayne Blackburn, MD 6111 E Arbor Ave, Mesa, AZ 85206-6059 Ph: (480) 981-1326

Reviews and Comments

Obstetrics & Gynecology Doctors in Mesa, AZ

Mrs. Eericca Michelle Bickley, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-644-1002
Casandra Ann Liggins, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1151 N Gilbert Rd, Mesa, AZ 85203 Phone: 602-358-8588 Fax: 602-688-6991
Gregory D Layton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-464-8722
Deanna Lynn Bullaro-anderer, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5304 E Southern Ave, Ste 110, Mesa, AZ 85206 Phone: 480-237-3040 Fax: 480-237-3049
Andrew R Adamson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 455 E 6th St, Mesa, AZ 85203 Phone: 480-844-4702
Tamar K Gottfried, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202 Phone: 480-545-0059 Fax: 480-632-2134
Marlin D. Mills, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1940 S Country Club Dr, Suite 102, Mesa, AZ 85210 Phone: 680-969-5999 Fax: 480-969-5610

Dr Patrick Wayne Blackburn, MD - Medicare Obstetrics & Gynecology in Mesa, AZ