Dr Maureen Mikho Blackburn, DDS in Kalamazoo, MI

Dr Maureen Mikho Blackburn, DDS is a medicare enrolled "Dentist" provider in Kalamazoo, Michigan. Her current practice location is 117 W Paterson St, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 349-2641.

Dr Maureen Mikho Blackburn is licensed to practice in Michigan (license number 2901022231) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902334006.

Contact Information

	Dr Maureen Mikho Blackburn, DDS
	117 W Paterson St, Kalamazoo, MI 49007-2581
	(269) 349-2641
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maureen Mikho Blackburn
Gender	Female
Speciality	Dentist
Location	117 W Paterson St, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902334006
Provider Enumeration Date: 06/01/2017
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2264702323
Enrollment ID: I20181203000783

Medical Identifiers

Medical identifiers for Dr Maureen Mikho Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902334006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901022231 (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. Dr Maureen Mikho Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Family Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899

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 Maureen Mikho Blackburn 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 Maureen Mikho Blackburn, DDS 117 W Paterson St, Kalamazoo, MI 49007-2557 Ph: (269) 349-2641	Dr Maureen Mikho Blackburn, DDS 117 W Paterson St, Kalamazoo, MI 49007-2581 Ph: (269) 349-2641

Reviews and Comments

Dentist in Kalamazoo, MI

Abdrhman Almouseli, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 5901 King Hwy, Kalamazoo, MI 49048 Phone: 269-344-4443
Dr. Anthony Charles Garofola, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 Whites Rd, Kalamazoo, MI 49008 Phone: 269-343-9895 Fax: 269-343-9896
Dr. Lynn C Hyland, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 Whites Rd, Kalamazoo, MI 49008 Phone: 269-382-0482 Fax: 269-382-2906
Dr. Sai Prathika Vedururu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5917 Stadium Dr, Kalamazoo, MI 49009 Phone: 269-372-1042
Dr. Rahaf Kanawati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1141 S Rose St, Kalamazoo, MI 49001 Phone: 269-388-5832
Dr. Brett B. Magnuson, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 2901 S Westnedge Ave, Kalamazoo, MI 49008 Phone: 269-382-4300
Phillip Thomas Doyle, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 1850 Whites Rd, Kalamazoo, MI 49008 Phone: 269-381-3212 Fax: 269-381-7846

Dr Maureen Mikho Blackburn, DDS - Medicare Dentist in Kalamazoo, MI