Dr Vaughn Daniel Blackburn, DPM is a medicare enrolled "Podiatrist" provider in Amelia, Ohio. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Podiatry. His current practice location is
5 W Main St, Amelia, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 753-0500.
Dr Vaughn Daniel Blackburn is licensed to practice in Ohio (license number 36003708) 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 1386925170.
Healthcare Provider's Profile
| Full Name | Dr Vaughn Daniel Blackburn |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 13 Years |
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| Location | 5 W Main St, Amelia, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vaughn Daniel Blackburn graduated from medical school in 2011
NPI Data:
- NPI Number: 1386925170
- Provider Enumeration Date: 09/07/2011
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961626585
- Enrollment ID: I20140620001089
Medical Identifiers
Medical identifiers for Dr Vaughn Daniel Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386925170 | NPI | - | NPPES |
| 0119172 | Medicaid | OH | |
| 7100441710 | Medicaid | KY | |
| 201371230 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 36003708 (Ohio) | Primary |
Medical Facilities Affiliation
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. Dr Vaughn Daniel Blackburn allows following entities to bill medicare on his behalf.
| Provider Name | Vaughn Blackburn Dpm Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437531829
PECOS PAC ID: 8628382991
Enrollment ID: O20150730011617 |
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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. Dr Vaughn Daniel 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 Address | Practice Location Address |
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Dr Vaughn Daniel Blackburn, DPM
6200 Pleasant Ave, Suite 3,
Fairfield, OH 45014-4670
Ph: (513) 829-9333 | Dr Vaughn Daniel Blackburn, DPM
5 W Main St,
Amelia, OH 45102-1924
Ph: (513) 753-0500 |
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