Dr Travis Glenn Blanton, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Logan, West Virginia. He went to Northeastern Ohio University College Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Erie County Medical Center Corporation, Logan General Hospital Llc and his current practice location is
70 Hospital Dr, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 831-1101.
Dr Travis Glenn Blanton is licensed to practice in West Virginia (license number 35401) 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 1013479856.
Physician's Profile
| Full Name | Dr Travis Glenn Blanton |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 7 Years |
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| Location | 70 Hospital Dr, Logan, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Travis Glenn Blanton attended and graduated from Northeastern Ohio University College Of Medicine in 2019
NPI Data:
- NPI Number: 1013479856
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 06/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668709957
- Enrollment ID: I20250108002147
Medical Identifiers
Medical identifiers for Dr Travis Glenn Blanton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013479856 | NPI | - | NPPES |
| 1013479856 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 306742 (New York) | Secondary |
| 207L00000X | Anesthesiology | 35.148574 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35.148574 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35401 (West Virginia) | Primary |
| 207L00000X | Anesthesiology | 35401 (West Virginia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 306742 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Erie County Medical Center Corporation | 1456308907 | 323 |
| Logan General Hospital Llc | 9537078977 | 27 |
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 Travis Glenn Blanton allows following entities to bill medicare on his behalf.
| Entity Name | Maple Gate Anesthesiologists, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528072709
PECOS PAC ID: 8022913839
Enrollment ID: O20031204000851 |
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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 Travis Glenn Blanton 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 Travis Glenn Blanton, MD
2181 Township Road 188,
Cardington, OH 43315-9353
Ph: () - | Dr Travis Glenn Blanton, MD
70 Hospital Dr,
Logan, WV 25601-3452
Ph: (304) 831-1101 |
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