Thomas P Blodgett, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Bidwell, Ohio. His current practice location is
39 Hidden Valley Dr, Bidwell, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 446-7623.
Thomas P Blodgett is licensed to practice in Ohio (license number 35073950B) 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 1619059516.
Physician's Profile
| Full Name | Thomas P Blodgett |
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| Gender | Male |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 39 Hidden Valley Dr, Bidwell, Ohio |
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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: 1619059516
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 04/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 1557322989
- Enrollment ID: I20051017000144
Medical Identifiers
Medical identifiers for Thomas P Blodgett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619059516 | NPI | - | NPPES |
| 2065394 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207NS0135X | Dermatology - Procedural Dermatology | 35073950B (Ohio) | 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. Thomas P Blodgett allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Dermatology Of North Central Ohio Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073528733 PECOS PAC ID: 7113058801 Enrollment ID: O20100624000226 |
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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. Thomas P Blodgett 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 |
Thomas P Blodgett, MD 39 Hidden Valley Dr, Bidwell, OH 45614-9591 Ph: (740) 446-7623 | Thomas P Blodgett, MD 39 Hidden Valley Dr, Bidwell, OH 45614-9591 Ph: (740) 446-7623 |
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