Mr William S Blakemore, MD is a medicare enrolled "Ophthalmology" provider in Edenton, North Carolina. His current practice location is
101 Mark Dr, Edenton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 482-7471.
Mr William S Blakemore is licensed to practice in North Carolina (license number 24730) 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 1235195827.
Healthcare Provider's Profile
| Full Name | Mr William S Blakemore |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 101 Mark Dr, Edenton, North Carolina |
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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: 1235195827
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 05/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961441753
- Enrollment ID: I20100511000370
Medical Identifiers
Medical identifiers for Mr William S Blakemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235195827 | NPI | - | NPPES |
| 180002116 | Other | NC | RAILROAD MEDICARE |
| 16180 | Other | | BC |
| 8916180 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152WC0802X | Optometrist - Corneal And Contact Management | 24730 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | 24730 (North Carolina) | 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. Mr William S Blakemore allows following entities to bill medicare on his behalf.
| Provider Name | Albemarle Eye Center Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528007507 PECOS PAC ID: 4981696499 Enrollment ID: O20040402000100 |
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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. Mr William S Blakemore 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 |
Mr William S Blakemore, MD Po Box 1077, 101 Mark Dr, Edenton, NC 27932-1077 Ph: (252) 482-7471 | Mr William S Blakemore, MD 101 Mark Dr, Edenton, NC 27932-1704 Ph: (252) 482-7471 |
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