Dr Blythe Mansfield, MD, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Pearland, Texas. Her current practice location is
2515 Business Center Dr, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 442-7200.
Dr Blythe Mansfield is licensed to practice in Texas (license number M6012) 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 1417009424.
Physician's Profile
| Full Name | Dr Blythe Mansfield |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2515 Business Center Dr, Pearland, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417009424
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 06/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941588396
- Enrollment ID: I20161105000117
Medical Identifiers
Medical identifiers for Dr Blythe Mansfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417009424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | M6012 (Texas) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | M6012 (Texas) | 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 Blythe Mansfield allows following entities to bill medicare on her behalf.
| Entity Name | Kelsey-seybold Medical Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204 |
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| Entity Name | Nluc Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518209113
PECOS PAC ID: 3072752302
Enrollment ID: O20130618000619 |
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| Entity Name | Next Level Mv Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013432285
PECOS PAC ID: 5991062085
Enrollment ID: O20171128000837 |
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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 Blythe Mansfield 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 |
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Dr Blythe Mansfield, MD, MPH
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298
Ph: (713) 442-0000 | Dr Blythe Mansfield, MD, MPH
2515 Business Center Dr,
Pearland, TX 77584-2294
Ph: (713) 442-7200 |
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