Dr Andrew Scott Blackstone, DO is a medicare enrolled "Urology" physician in Somerdale, New Jersey. His current practice location is
1 Somerdale Sq, Somerdale, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 309-7700.
Dr Andrew Scott Blackstone is licensed to practice in New Jersey (license number 25MB03194000) 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 1023391612.
Physician's Profile
| Full Name | Dr Andrew Scott Blackstone |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Location | 1 Somerdale Sq, Somerdale, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1023391612
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 05/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274519095
- Enrollment ID: I20111116000529
Medical Identifiers
Medical identifiers for Dr Andrew Scott Blackstone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023391612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 25MB03194000 (New Jersey) | 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 Andrew Scott Blackstone allows following entities to bill medicare on his behalf.
| Entity Name | Kennedy University Hospital, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295751832
PECOS PAC ID: 3274442868
Enrollment ID: O20040719000006 |
|---|
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 Andrew Scott Blackstone 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 Andrew Scott Blackstone, DO
1 Somerdale Sq,
Somerdale, NJ 08083-1345
Ph: (856) 309-7700 | Dr Andrew Scott Blackstone, DO
1 Somerdale Sq,
Somerdale, NJ 08083-1345
Ph: (856) 309-7700 |
Reviews and Comments