Kory Blackwell, in Hattiesburg, MS - Medicare Family Practice

Kory Blackwell, is a medicare enrolled "Family Medicine" physician in Hattiesburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 5192 Old Highway 11 Ste 2, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-0929.

Kory Blackwell is licensed to practice in Mississippi (license number 24444) 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 1255751525.

Contact Information

	Kory Blackwell,
	5192 Old Highway 11 Ste 2, Hattiesburg, MS 39402-6222
	(601) 268-0929
	(601) 261-0508

Map and Direction

Physician's Profile

Full Name	Kory Blackwell
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	5192 Old Highway 11 Ste 2, Hattiesburg, Mississippi
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:

Kory Blackwell attended and graduated from University Of Mississippi School Of Medicine in 2014

NPI Data:

NPI Number: 1255751525
Provider Enumeration Date: 04/24/2014
Last Update Date: 01/07/2021

Medicare PECOS Information:

PECOS PAC ID: 3173813748
Enrollment ID: I20170731000990

Medical Identifiers

Medical identifiers for Kory Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255751525	NPI	-	NPPES
08076764	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	24444 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Home Care	Hattiesburg, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	489

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. Kory Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Forrest County General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351

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. Kory Blackwell 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
Kory Blackwell, 415 South 28th Avenue, Hattiesburg, MS 39401 Ph: (601) 579-5463	Kory Blackwell, 5192 Old Highway 11 Ste 2, Hattiesburg, MS 39402-6222 Ph: (601) 268-0929

Reviews and Comments

Family Medicine Doctors in Hattiesburg, MS

Katherine O'neal Royals, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240
Nabih Alsheikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7100 U S Highway 98 Ste 240, Hattiesburg, MS 39402 Phone: 601-450-8822 Fax: 601-450-8821
Glenn A Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4209 Lincoln Road, Hattiesburg, MS 39402 Phone: 601-579-5400 Fax: 601-261-3521
Dr. Cierra Celeste Green, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524
Dr. Wayne A Hughes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-261-5710 Fax: 601-268-5058
John Lloyd Martin, Family Medicine Medicare: Medicare Enrolled Practice Location: 7148 U S Highway 98 Ste 101, Hattiesburg, MS 39402 Phone: 601-261-1500 Fax: 601-579-5240
Helen Rachael Gandy Hudson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240

Kory Blackwell, - Medicare Family Practice in Hattiesburg, MS