Blakely Mccormick, DMD is a
Dentist based in Fort Novosel, Alabama. Blakely Mccormick is licensed to practice in South Carolina (license number 10223) and her current practice location is
4405 Innkeeper Street, Fort Novosel, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 255-1155.
NPI number for Blakely Mccormick is 1568197713 and her current mailing address is 102 Mosswood Dr, Enterprise, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568197713.
Healthcare Provider's Profile
Full Name | Blakely Mccormick |
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Gender | Female |
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Speciality | Dentist |
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Location | 4405 Innkeeper Street, Fort Novosel, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568197713
- Provider Enumeration Date: 07/21/2022
- Last Update Date: 07/24/2023
Medical Identifiers
Medical identifiers for Blakely Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568197713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 10223 (South Carolina) | Primary |
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. Blakely Mccormick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Blakely Mccormick, DMD 102 Mosswood Dr, Enterprise, AL 36330-8321 Ph: () - | Blakely Mccormick, DMD 4405 Innkeeper Street, Fort Novosel, AL 36362 Ph: (334) 255-1155 |
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