Shamarick Gaston Blue, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Longview, Texas. His current practice location is
409 N 6th St, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 315-5520.
Shamarick Gaston Blue is licensed to practice in Texas (license number P7395) 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 1255506341.
Physician's Profile
| Full Name | Shamarick Gaston Blue |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 409 N 6th St, Longview, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255506341
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 11/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 5294058673
- Enrollment ID: I20141217000620
Medical Identifiers
Medical identifiers for Shamarick Gaston Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255506341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 001013 (Georgia) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | P7395 (Texas) | 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. Shamarick Gaston Blue allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275651002
PECOS PAC ID: 9739260019
Enrollment ID: O20080131000349 |
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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. Shamarick Gaston Blue 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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Shamarick Gaston Blue, MD
Po Box 4207,
Longview, TX 75606-4207
Ph: (903) 315-4119 | Shamarick Gaston Blue, MD
409 N 6th St,
Longview, TX 75601-6536
Ph: (903) 315-5520 |
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