Dr Wesley Wayne Youngblood, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Loveland, Ohio. His current practice location is
1301 Mattec Dr, Loveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 454-7246.
Dr Wesley Wayne Youngblood is licensed to practice in * (Not Available) (license number ) 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 1730718016.
Physician's Profile
Full Name | Dr Wesley Wayne Youngblood |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1301 Mattec Dr, Loveland, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730718016
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 03/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092136820
- Enrollment ID: I20200603003331
Medical Identifiers
Medical identifiers for Dr Wesley Wayne Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730718016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 35.15258 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Wesley Wayne Youngblood 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 Wesley Wayne Youngblood, MD 196 Cedar Pointe Dr, Caledonia, MS 39740-8649 Ph: (662) 242-0888 | Dr Wesley Wayne Youngblood, MD 1301 Mattec Dr, Loveland, OH 45140-7300 Ph: (513) 454-7246 |
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