William Blake Mckibbin, MD - Medicare General Surgery 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 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Claxton Medical Pc, Claxton-hepburn Medical Center 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 NameWilliam Blake Mckibbin
GenderMale
SpecialityGeneral Surgery
Experience25 Years
Location16 Ivy Ridge Ln Ste 130, Fishersville, Virginia
Accepts Medicare AssignmentsYes. 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: I20230222002439

Medical Identifiers

Medical identifiers for William Blake Mckibbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295739878NPI-NPPES
705155309AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 052784 (Georgia)Secondary
208600000XSurgery 0101240500 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Claxton-hepburn Medical CenterOgdensburg, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Claxton Medical Pc024438915328
Claxton-hepburn Medical Center842696650865

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 NameClaxton-hepburn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891753034
PECOS PAC ID: 8426966508
Enrollment ID: O20031110000552
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856
Entity NameClaxton Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114164944
PECOS PAC ID: 0244389153
Enrollment ID: O20090526000410

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 AddressPractice 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    
Christopher David Scibelli, 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
Cullen O'neill Carter, M.D.
Surgery
Medicare: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.