Vaughn Blackburn Dpm Llc is a medicare enrolled "Podiatrist" provider in Amelia, Ohio. Their current practice location is
5 W Main St, Amelia, Ohio. You can reach out to their office (for appointments etc.) via phone at
(513) 753-0500.
Vaughn Blackburn Dpm Llc is licensed to practice in Ohio (license number 36003708) and it also participates in the medicare program. Vaughn Blackburn Dpm Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1437531829.
Healthcare Provider's Profile
| Full Name | Vaughn Blackburn Dpm Llc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 5 W Main St, Amelia, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437531829
- Provider Enumeration Date: 06/23/2015
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628382991
- Enrollment ID: O20150730011617
Medical Identifiers
Medical identifiers for Vaughn Blackburn Dpm Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437531829 | NPI | - | NPPES |
| 0139688 | Medicaid | OH | |
| 7100441860 | Medicaid | KY | |
| 201368390A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 36003708 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vaughn Blackburn Dpm Llc acts as a billing entity for following providers:
| Provider Name | Vaughn D Blackburn |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1386925170
PECOS PAC ID: 2961626585
Enrollment ID: I20140620001089 |
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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. Vaughn Blackburn Dpm Llc 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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Vaughn Blackburn Dpm Llc
6200 Pleasant Ave, Ste 3,
Fairfield, OH 45014-4670
Ph: (513) 829-9333 | Vaughn Blackburn Dpm Llc
5 W Main St,
Amelia, OH 45102-1924
Ph: (513) 753-0500 |
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