Dr Travis Wayne Blalock, MD in Oklahoma City, OK

Dr Travis Wayne Blalock, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Oklahoma City, Oklahoma. He went to Mercer University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The Emory Clinic, Inc and his current practice location is 619 Ne 13th St, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-6110.

Dr Travis Wayne Blalock is licensed to practice in Georgia (license number 73100) 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 1710195003.

Contact Information

	Dr Travis Wayne Blalock, MD
	619 Ne 13th St, Oklahoma City, OK 73104-5001
	(405) 271-6110
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Travis Wayne Blalock
Gender	Male
Speciality	Dermatology
Experience	17 Years
Location	619 Ne 13th St, Oklahoma City, Oklahoma
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 Travis Wayne Blalock attended and graduated from Mercer University School Of Medicine in 2007

NPI Data:

NPI Number: 1710195003
Provider Enumeration Date: 05/18/2007
Last Update Date: 02/12/2021

Medicare PECOS Information:

PECOS PAC ID: 9739353400
Enrollment ID: I20150319002133

Medical Identifiers

Medical identifiers for Dr Travis Wayne Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710195003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	73100 (Georgia)	Primary
207NS0135X	Dermatology - Procedural Dermatology	A116875 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2687

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 Wayne Blalock allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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 Wayne Blalock 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 Wayne Blalock, MD 1525 Clifton Rd Ne Ste 112a, Atlanta, GA 30322-4200 Ph: (404) 778-3333	Dr Travis Wayne Blalock, MD 619 Ne 13th St, Oklahoma City, OK 73104-5001 Ph: (405) 271-6110

Reviews and Comments

Dermatology Doctors in Oklahoma City, OK

Jason Matthew Hirshburg, M.D. PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: University Of Oklahoma Hsc - Dermatology, 619 N.e. 13th St, Oklahoma City, OK 73104 Phone: 405-271-4662 Fax: 405-271-4662
Raymond L Cornelison, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3727 Nw 63rd St Ste 205, Oklahoma City, OK 73116 Phone: 405-608-4494 Fax: 405-608-4504
Dr. Carlos Andres Garcia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4805 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-1506 Fax: 405-636-1511
Mark Stover Sullivan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3366 Nw Expressway, Suite 720, Oklahoma City, OK 73112 Phone: 405-947-0676 Fax: 405-945-4876
Dr. Brandon Rhinehart, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13100 N Western, Ste 301, Oklahoma City, OK 73114 Phone: 405-947-6647 Fax: 405-948-6647
Mark A Dawkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13174 N Macarthur Blvd, Oklahoma City, OK 73142 Phone: 405-721-5555 Fax: 405-470-7093
James W Taira, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1211 N Shartel Ave, Suite 202, Oklahoma City, OK 73103 Phone: 405-235-7546

Dr Travis Wayne Blalock, MD - Medicare Dermatology in Oklahoma City, OK