Dr Adam James Blanchard, MD - Medicare Diagnostic Radiology in Madison, WI

Dr Adam James Blanchard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Madison, Wisconsin. He went to Tulane University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice American Radiology Consultants Pllc and his current practice location is 2415 University Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (504) 234-0277.

Dr Adam James Blanchard is licensed to practice in Wisconsin (license number 69296-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104262484.

Contact Information

Dr Adam James Blanchard, MD
2415 University Ave,
Madison, WI 53726-3810
(504) 234-0277
Not Available

Map and Direction




Physician's Profile

Full NameDr Adam James Blanchard
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location2415 University Ave, Madison, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adam James Blanchard attended and graduated from Tulane University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1104262484
  • Provider Enumeration Date: 05/14/2013
  • Last Update Date: 07/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0941592315
  • Enrollment ID: I20200716000904

Medical Identifiers

Medical identifiers for Dr Adam James Blanchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104262484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 69296-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor University Medical CenterDallas, TXHospital
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Radiology Consultants Pllc6709868409107

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 Adam James Blanchard allows following entities to bill medicare on his behalf.
Entity NameAmerican Radiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669425195
PECOS PAC ID: 6709868409
Enrollment ID: O20070301000082

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 Adam James Blanchard 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 AddressPractice Location Address
Dr Adam James Blanchard, MD
2415 University Ave,
Madison, WI 53726-3810

Ph: () -
Dr Adam James Blanchard, MD
2415 University Ave,
Madison, WI 53726-3810

Ph: (504) 234-0277

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.