Deidra Blanks, MD in Fayetteville, NC - Medicare Otolaryngology

Deidra Blanks, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Fayetteville, North Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Fayetteville Otolaryngology Head And Neck Surgery P.a. and her current practice location is 1839 Quiet Cv, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 323-1463.

Deidra Blanks is licensed to practice in North Carolina (license number 2006-00621) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619170529.

Contact Information

	Deidra Blanks, MD
	1839 Quiet Cv, Fayetteville, NC 28304-3857
	(910) 323-1463
	(910) 323-1575

Map and Direction

Physician's Profile

Full Name	Deidra Blanks
Gender	Female
Speciality	Otolaryngology
Experience	20 Years
Location	1839 Quiet Cv, Fayetteville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deidra Blanks attended and graduated from Brody School Of Medicine At East Carolina University in 2004

NPI Data:

NPI Number: 1619170529
Provider Enumeration Date: 06/07/2007
Last Update Date: 06/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3870763873
Enrollment ID: I20120808000290

Medical Identifiers

Medical identifiers for Deidra Blanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619170529	NPI	-	NPPES
1619170529	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	2006-00621 (North Carolina)	Primary
207YX0901X	Otolaryngology - Otology & Neurotology	2006-00621 (North Carolina)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	2011003947 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cape Fear Valley Medical Center	Fayetteville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fayetteville Otolaryngology Head And Neck Surgery P.a.	2163421520	6

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. Deidra Blanks allows following entities to bill medicare on her behalf.

Entity Name	Fayetteville Otolaryngology Head And Neck Surgery P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538189279 PECOS PAC ID: 2163421520 Enrollment ID: O20061212000426

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. Deidra Blanks 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
Deidra Blanks, MD 1839 Quiet Cv, Fayetteville, NC 28304-3857 Ph: (910) 323-1463	Deidra Blanks, MD 1839 Quiet Cv, Fayetteville, NC 28304-3857 Ph: (910) 323-1463

Reviews and Comments

Otolaryngology Doctors in Fayetteville, NC

Mr. Steven Thomas Pantelakos, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1839 Quiet Cove, Fayetteville, NC 28304 Phone: 910-323-1463 Fax: 910-323-1575
Mr. Robert Richard Friedrichs, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2053 Valleygate Drive, Ste. 101, Fayetteville, NC 28304 Phone: 910-323-9222 Fax: 910-323-9222
Mr. Kenneth Thomas Bellian, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1839 Quiet Cove, Fayetteville, NC 28304 Phone: 910-323-1463 Fax: 910-323-1463
Mr. William James Wiggs Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1839 Quiet Cove, Fayetteville, NC 28304 Phone: 910-323-1463 Fax: 910-323-1575
Dr. Edward Ernest Dickerson, Iv, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-9222
Dr. Sabina Petra Francis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304 Phone: 910-323-9222 Fax: 910-221-9220
Mr. John Henley Jr., MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1839 Quiet Cove, Fayetteville, NC 28304 Phone: 910-323-1463 Fax: 910-323-1575

Deidra Blanks, MD - Medicare Otolaryngology in Fayetteville, NC