Dr Nicholas Patrick Blasingame, DPM in South Gate, CA

Dr Nicholas Patrick Blasingame, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in South Gate, California. His current practice location is 8627 Atlantic Ave, South Gate, California. You can reach out to his office (for appointments etc.) via phone at (877) 462-2582.

Dr Nicholas Patrick Blasingame is licensed to practice in California (license number E6056) 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 1033792411.

Contact Information

	Dr Nicholas Patrick Blasingame, DPM
	8627 Atlantic Ave, South Gate, CA 90280-3501
	(877) 462-2582
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas Patrick Blasingame
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	8627 Atlantic Ave, South Gate, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033792411
Provider Enumeration Date: 05/03/2021
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 2961948443
Enrollment ID: I20240719002791

Medical Identifiers

Medical identifiers for Dr Nicholas Patrick Blasingame such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033792411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	E6056 (California)	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. Dr Nicholas Patrick Blasingame allows following entities to bill medicare on his behalf.

Provider Name	Stanley K Mathis Dpm Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649737651 PECOS PAC ID: 7416284138 Enrollment ID: O20190802002564

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 Nicholas Patrick Blasingame 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
Dr Nicholas Patrick Blasingame, DPM 633 13th Street, Manhattan Beach, CA 90266 Ph: (424) 506-8626	Dr Nicholas Patrick Blasingame, DPM 8627 Atlantic Ave, South Gate, CA 90280-3501 Ph: (877) 462-2582

Reviews and Comments

Podiatrist in South Gate, CA

Dr. Barry A Richmond, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3425 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-1183 Fax: 323-566-5348
Dr. Stanley Lowe, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 4476 Tweedy Blvd, South Gate, CA 90280 Phone: 323-563-9499 Fax: 323-563-0956
Narciso M Azurin Md Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 4075 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-4111 Fax: 323-563-0439
Dr. Michael Varsho, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3425 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-1183
Ronald H Peltz Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4225 Tweedy Blvd, South Gate, CA 90280 Phone: 323-567-1201 Fax: 323-567-1211

Dr Nicholas Patrick Blasingame, DPM - Medicare Podiatrist in South Gate, CA