James Blackwell, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Columbus, Ohio. His current practice location is
305 W 12th Ave, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 292-7473.
James Blackwell is licensed to practice in * (Not Available) (license number ) 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 1164115515.
Healthcare Provider's Profile
Full Name | James Blackwell |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 305 W 12th Ave, Columbus, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164115515
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234593070
- Enrollment ID: I20230913001265
Medical Identifiers
Medical identifiers for James Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164115515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | APP-000720856 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. James 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 |
James Blackwell, DMD 43 E Maynard Ave, Columbus, OH 43202-2938 Ph: () - | James Blackwell, DMD 305 W 12th Ave, Columbus, OH 43210-1267 Ph: (614) 292-7473 |
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