Scott Anthony Blackburn, NP - Medicare Nurse Practitioner in Southgate, MI

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Scott Anthony Blackburn, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Southgate, Michigan. His current practice location is 15150 Fort St, Southgate, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 282-4800.

Scott Anthony Blackburn is licensed to practice in Michigan (license number 4704326782) 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 1003554494.

Contact Information

Scott Anthony Blackburn, NP
15150 Fort St,
Southgate, MI 48195-1302
(734) 282-4800
(734) 282-9302

Map and Direction




Provider's Profile

Full NameScott Anthony Blackburn
GenderMale
SpecialityNurse Practitioner - Primary Care
Location15150 Fort St, Southgate, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003554494
  • Provider Enumeration Date: 05/25/2022
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143699355
  • Enrollment ID: I20221210000429

Medical Identifiers

Medical identifiers for Scott Anthony Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003554494NPI-NPPES
4704326782OtherMISTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 4704326782 (Michigan)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. Scott Anthony Blackburn allows following entities to bill medicare on his behalf.
Entity NameDownriver Heart And Vascular Specialists, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194838383
PECOS PAC ID: 2062416522
Enrollment ID: O20060914000441

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. Scott Anthony Blackburn 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
Scott Anthony Blackburn, NP
15150 Fort St,
Southgate, MI 48195-1302

Ph: (734) 282-4800		Scott Anthony Blackburn, NP
15150 Fort St,
Southgate, MI 48195-1302

Ph: (734) 282-4800

Reviews and Comments


Nurse Practitioner Nurses in Southgate, MI

Margaret Diane Barden, APN-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13667 Eureka Rd, Southgate, MI 48195
Phone: 734-530-6777    Fax: 734-468-1156
Michelle Lorraine Pardee, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 19275 Northline Rd, Southgate, MI 48195
Phone: 734-287-2076    Fax: 734-287-2731
Marie Elizabeth Manteuffel, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16258 Fort St, Southgate, MI 48195
Phone: 734-250-9062    Fax: 734-250-9072
Kaitlin Dughlas, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15350 Trenton Rd, Southgate, MI 48195
Phone: 734-283-4616    
Mrs. Deborah Jane Collier-barstad, M.S.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15255 Northline Rd, Southgate, MI 48195
Phone: 734-285-3090    Fax: 734-285-3095
Ms. Tina Adkins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13346 Mark St, Southgate, MI 48195
Phone: 734-771-9232    

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.