Paul Blackcloud, MD - Medicare Dermatology in Rochester, NY

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Paul Blackcloud, MD is a medicare enrolled "Dermatology" in Rochester, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice University Dermatology Associates, University Of Rochester and his current practice location is 40 Celebration Dr, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 275-7546.

Paul Blackcloud is licensed to practice in New York (license number 309252) 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 1417319187.

Contact Information

Paul Blackcloud, MD
40 Celebration Dr,
Rochester, NY 14620-2664
(585) 275-7546
Not Available

Map and Direction




Provider's Profile

Full NamePaul Blackcloud
GenderMale
SpecialityDermatology
Experience8 Years
Location40 Celebration Dr, Rochester, New York
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:
  • Paul Blackcloud attended and graduated from Columbia University College Of Physicians And Surgeons in 2016
  NPI Data:
  • NPI Number: 1417319187
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123440328
  • Enrollment ID: I20210608001001

Medical Identifiers

Medical identifiers for Paul Blackcloud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417319187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 309252 (New York)Secondary
207N00000XDermatology 309252 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Strong Memorial HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Dermatology Associates569873646015
University Of Rochester5799699088814

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. Paul Blackcloud allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019
Entity NameUniversity Dermatology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609802362
PECOS PAC ID: 5698736460
Enrollment ID: O20041025000732

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. Paul Blackcloud 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
Paul Blackcloud, MD
601 Elmwood Ave Box 278797,
Rochester, NY 14642-5631

Ph: (585) 275-7546		Paul Blackcloud, MD
40 Celebration Dr,
Rochester, NY 14620-2664

Ph: (585) 275-7546

Reviews and Comments



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.