Blackiston Chiropractic is a medicare enrolled "Chiropractor" provider in North East, Maryland. Their current practice location is
2316 Pulaski Hwy Ste B, North East, Maryland. You can reach out to their office (for appointments etc.) via phone at
(410) 642-9110.
Blackiston Chiropractic is licensed to practice in Maryland (license number 02079) and it also participates in the medicare program. Blackiston Chiropractic
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 1740405604.
Healthcare Provider's Profile
Full Name | Blackiston Chiropractic |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 2316 Pulaski Hwy Ste B, North East, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740405604
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 03/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163507963
- Enrollment ID: O20080304000317
Medical Identifiers
Medical identifiers for Blackiston Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740405604 | NPI | - | NPPES |
61670301 | Other | MD | BC RENDERING PROV. ID |
2912304 | Other | MD | AETNA PROV. ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 02079 (Maryland) | Primary |
225100000X | Physical Therapist | 02079 (Maryland) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Blackiston Chiropractic acts as a billing entity for following providers:
Provider Name | Heather M Blackiston |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1619926623 PECOS PAC ID: 9335224138 Enrollment ID: I20101026000965 |
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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. Blackiston Chiropractic 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 |
Blackiston Chiropractic 2316 Pulaski Hwy Ste B, North East, MD 21901-3730 Ph: (410) 642-9110 | Blackiston Chiropractic 2316 Pulaski Hwy Ste B, North East, MD 21901-3730 Ph: (410) 642-9110 |
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