Robert John Blanco, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Oshkosh, Wisconsin. His current practice location is
855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 303-8700.
Robert John Blanco is licensed to practice in Wisconsin (license number 52680-020) 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 1316272099.
Physician's Profile
| Full Name | Robert John Blanco |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
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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: 1316272099
- Provider Enumeration Date: 10/13/2009
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951664101
- Enrollment ID: I20180423000035
Medical Identifiers
Medical identifiers for Robert John Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316272099 | NPI | - | NPPES |
| 100075672 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 52680-20 (Wisconsin) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 52680-020 (Wisconsin) | Primary |
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. Robert John Blanco allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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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. Robert John Blanco 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 |
Robert John Blanco, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 | Robert John Blanco, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
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