Roman Peele Blount Iv, in Irmo, SC - Medicare Family Medicine

Roman Peele Blount Iv, is a medicare enrolled "Family Medicine" physician in Irmo, South Carolina. His current practice location is 1846 Dutch Fork Rd, Irmo, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 781-5200.

Roman Peele Blount Iv is licensed to practice in South Carolina (license number 92561) 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 1003496720.

Contact Information

	Roman Peele Blount Iv,
	1846 Dutch Fork Rd, Irmo, SC 29063-8830
	(803) 781-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Roman Peele Blount Iv
Gender	Male
Speciality	Family Medicine
Location	1846 Dutch Fork Rd, Irmo, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003496720
Provider Enumeration Date: 04/08/2021
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3072915263
Enrollment ID: I20240807001308

Medical Identifiers

Medical identifiers for Roman Peele Blount Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003496720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	BLOU-LA8994 (North Carolina)	Secondary
207Q00000X	Family Medicine	92561 (South Carolina)	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. Roman Peele Blount Iv allows following entities to bill medicare on his behalf.

Entity Name	Lexington Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922

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. Roman Peele Blount Iv 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
Roman Peele Blount Iv, Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203	Roman Peele Blount Iv, 1846 Dutch Fork Rd, Irmo, SC 29063-8830 Ph: (803) 781-5200

Reviews and Comments

Family Medicine Doctors in Irmo, SC

Dianna Lyn Neal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Rachel L. Callis-wolfe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843
Dr. Sean Douglas Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Dr. Michael L Nunnery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843
Dr. Sarah Marie Schumacher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-274-6263 Fax: 803-973-6636
Dr. Jamee H Steen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1079 Dutch Fork Road, Irmo, SC 29063 Phone: 803-749-8900 Fax: 803-749-8899

Roman Peele Blount Iv, - Medicare Family Medicine in Irmo, SC