Dr Spencer L Blackman, MD in Boston, MA - Medicare Family Practice

Dr Spencer L Blackman, MD is a medicare enrolled "Family Medicine" physician in Boston, Massachusetts. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Of Vermont Medical Center Inc, One Medstar Primary Care Llc and his current practice location is 53 State St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 903-5000.

Dr Spencer L Blackman is licensed to practice in Massachusetts (license number 254843) 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 1205914884.

Contact Information

	Dr Spencer L Blackman, MD
	53 State St, Boston, MA 02109-2820
	(617) 903-5000
	(415) 252-7176

Map and Direction

Physician's Profile

Full Name	Dr Spencer L Blackman
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	53 State St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. 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 Spencer L Blackman attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2003

NPI Data:

NPI Number: 1205914884
Provider Enumeration Date: 11/01/2006
Last Update Date: 04/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2567483282
Enrollment ID: I20151203002100

Medical Identifiers

Medical identifiers for Dr Spencer L Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205914884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	84995 (Georgia)	Secondary
207Q00000X	Family Medicine	2020-04415 (North Carolina)	Secondary
207Q00000X	Family Medicine	V4643 (Texas)	Secondary
207Q00000X	Family Medicine	A88542 (California)	Secondary
207Q00000X	Family Medicine	042.0013274 (Vermont)	Secondary
207Q00000X	Family Medicine	254843 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Vermont Medical Center Inc	3779491071	1060
One Medstar Primary Care Llc	0749607307	121

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 Spencer L Blackman allows following entities to bill medicare on his behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

Entity Name	Champlain Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013273697 PECOS PAC ID: 4981868247 Enrollment ID: O20120618000283

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 Spencer L Blackman 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 Spencer L Blackman, MD 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791	Dr Spencer L Blackman, MD 53 State St, Boston, MA 02109-2820 Ph: (617) 903-5000

Reviews and Comments

Family Medicine Doctors in Boston, MA

Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Nestor Alejandro Sainz Rueda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 800-711-4644
Madhuri Preeti Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-889-8580
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660
Dr. David Buckle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-267-0900 Fax: 617-927-5495

Dr Spencer L Blackman, MD - Medicare Family Practice in Boston, MA