Dr Samuel Dwight Blackwell, MD in Apex, NC

Dr Samuel Dwight Blackwell, MD is a medicare enrolled "Family Medicine" physician in Apex, North Carolina. His current practice location is 1011 Pemberton Hill Rd, Suite 101, Apex, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 367-9355.

Dr Samuel Dwight Blackwell is licensed to practice in North Carolina (license number 32989) 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 1770677635.

Contact Information

	Dr Samuel Dwight Blackwell, MD
	1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266
	(919) 367-9355
	(919) 367-9276

Map and Direction

Physician's Profile

Full Name	Dr Samuel Dwight Blackwell
Gender	Male
Speciality	Family Medicine
Location	1011 Pemberton Hill Rd, Apex, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770677635
Provider Enumeration Date: 10/03/2006
Last Update Date: 02/03/2014

Medicare PECOS Information:

PECOS PAC ID: 0143284349
Enrollment ID: I20041119000200

Medical Identifiers

Medical identifiers for Dr Samuel Dwight Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770677635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	32989 (North Carolina)	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 Samuel Dwight Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Duke University Affiliated Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642

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 Samuel Dwight 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
Dr Samuel Dwight Blackwell, MD 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266 Ph: (919) 367-9355	Dr Samuel Dwight Blackwell, MD 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266 Ph: (919) 367-9355

Reviews and Comments

Family Medicine Doctors in Apex, NC

Keely B Godwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1031 W Williams St, Suite106, Apex, NC 27502 Phone: 919-363-0190 Fax: 919-363-0195
Colin Neils Chao, Family Medicine Medicare: Medicare Enrolled Practice Location: 1565 Orchard Villas Ave, Apex, NC 27502 Phone: 919-752-5342 Fax: 919-367-9276
Douglas A. Wadeson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 S Salem St, Apex, NC 27502 Phone: 919-362-5201 Fax: 919-387-5905
Tammi M Waters, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Olive Chapel Rd Ste 124, Apex, NC 27502 Phone: 919-727-1850 Fax: 919-727-1851
Cecilia Bernadette Gordon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S Salem St, Apex, NC 27502 Phone: 919-362-5201
Dr. Brian Ray Forrest, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1031 W Williams St, Suite 106, Apex, NC 27502 Phone: 919-363-0190 Fax: 919-363-0195
Dr. Ragini T Madan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Healthplex Way, Suite 220, Apex, NC 27502 Phone: 919-350-0550 Fax: 919-350-9822

Dr Samuel Dwight Blackwell, MD - Medicare Family Medicine in Apex, NC