William Blake Mckibbin, MD in Fishersville, VA

William Blake Mckibbin, MD is a medicare enrolled "Surgery" physician in Fishersville, Virginia. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Bolivar Physician Practices Llc and his current practice location is 16 Ivy Ridge Ln Ste 130, Fishersville, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 332-5909.

William Blake Mckibbin is licensed to practice in Virginia (license number 0101240500) 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 1295739878.

Contact Information

	William Blake Mckibbin, MD
	16 Ivy Ridge Ln Ste 130, Fishersville, VA 22939-2354
	(540) 332-5909
	(540) 332-5910

Map and Direction

Physician's Profile

Full Name	William Blake Mckibbin
Gender	Male
Speciality	General Surgery
Experience	26 Years
Location	16 Ivy Ridge Ln Ste 130, Fishersville, Virginia
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:

William Blake Mckibbin graduated from medical school in 1999

NPI Data:

NPI Number: 1295739878
Provider Enumeration Date: 06/10/2005
Last Update Date: 02/13/2020

Medicare PECOS Information:

PECOS PAC ID: 9032182969
Enrollment ID: I20240820003652

Medical Identifiers

Medical identifiers for William Blake Mckibbin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295739878	NPI	-	NPPES
705155309A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	052784 (Georgia)	Secondary
208600000X	Surgery	0101240500 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bolivar Medical Center	Cleveland, MS	Hospital
North Sunflower Medical Center Cah	Ruleville, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bolivar Physician Practices Llc	6305995895	17

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. William Blake Mckibbin allows following entities to bill medicare on his behalf.

Entity Name	Bolivar Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274

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. William Blake Mckibbin 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
William Blake Mckibbin, MD 16 Ivy Ridge Ln Ste 130, Fishersville, VA 22939-2354 Ph: (540) 332-5909	William Blake Mckibbin, MD 16 Ivy Ridge Ln Ste 130, Fishersville, VA 22939-2354 Ph: (540) 332-5909

Reviews and Comments

Surgery Doctors in Fishersville, VA

Shannon N Tierney, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 107&213, Fishersville, VA 22939 Phone: 540-245-7705 Fax: 540-245-7710
Chelsea Marie Hutchinson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 213, Fishersville, VA 22939 Phone: 540-245-7705 Fax: 540-245-7710
Timothy D Spencer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4228
Amani D Politano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 213, Fishersville, VA 22939 Phone: 540-245-7705 Fax: 540-245-7710
William L Faulkenberry Ii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 70 Medical Center Cir, Suite 213, Fishersville, VA 22939 Phone: 540-332-5999 Fax: 540-332-5990
William G. Thompson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir, Suite 213, Fishersville, VA 22939 Phone: 540-332-5999 Fax: 540-332-5990

William Blake Mckibbin, MD - Medicare General Surgery in Fishersville, VA