Nathan John Blackwell, DC is a medicare enrolled "Chiropractor" provider in Grosse Pt Frm, Michigan. His current practice location is
18720 Mack Ave Ste 120, Grosse Pt Frm, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 886-8030.
Nathan John Blackwell is licensed to practice in Michigan (license number 2301401249) 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 1427768886.
Healthcare Provider's Profile
| Full Name | Nathan John Blackwell |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 18720 Mack Ave Ste 120, Grosse Pt Frm, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427768886
- Provider Enumeration Date: 11/28/2022
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759759319
- Enrollment ID: I20221201002839
Medical Identifiers
Medical identifiers for Nathan John Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427768886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2301401249 (Michigan) | 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. Nathan John Blackwell allows following entities to bill medicare on his behalf.
| Provider Name | Gary A Shoemaker Dc Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699959189
PECOS PAC ID: 5496772139
Enrollment ID: O20051101000486 |
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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. Nathan John Blackwell 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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Nathan John Blackwell, DC
18720 Mack Ave Ste 120,
Grosse Pointe Farms, MI 48236-2957
Ph: (313) 886-8030 | Nathan John Blackwell, DC
18720 Mack Ave Ste 120,
Grosse Pt Frm, MI 48236-2957
Ph: (313) 886-8030 |
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