Ira Blaine Potter, MD is a medicare enrolled "Family Medicine" physician in Lackey, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 1970 and has 54 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Appalachian Regional Healthcare Inc. and his current practice location is
77 Millard Allen Dr, Lackey, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 358-2381.
Ira Blaine Potter is licensed to practice in Kentucky (license number 15918) 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 1942208590.
Physician's Profile
| Full Name | Ira Blaine Potter |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 54 Years |
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| Location | 77 Millard Allen Dr, Lackey, Kentucky |
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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:
- Ira Blaine Potter attended and graduated from University Of Kentucky College Of Medicine in 1970
NPI Data:
- NPI Number: 1942208590
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 12/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 6901794155
- Enrollment ID: I20040311000186
Medical Identifiers
Medical identifiers for Ira Blaine Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942208590 | NPI | - | NPPES |
| 2139 | Other | KY | CHA |
| 000000045528 | Other | KY | BCBS |
| 64159189 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 15918 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Appalachian Regional Healthcare Inc. | 0840107835 | 232 |
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. Ira Blaine Potter allows following entities to bill medicare on his behalf.
| Entity Name | Appalachian Regional Healthcare Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528148012
PECOS PAC ID: 0840107835
Enrollment ID: O20031125000520 |
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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. Ira Blaine Potter 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 |
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Ira Blaine Potter, MD
Po Box 190,
Lackey, KY 41643-0190
Ph: (606) 358-2381 | Ira Blaine Potter, MD
77 Millard Allen Dr,
Lackey, KY 41643-0190
Ph: (606) 358-2381 |
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