Dr Derrick Lewis Blackwell, DO - Medicare Family Practice in Charlotte, NC

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Dr Derrick Lewis Blackwell, DO is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-7910.

Dr Derrick Lewis Blackwell is licensed to practice in North Carolina (license number 2014-00430) 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 1134348485.

Contact Information

Dr Derrick Lewis Blackwell, DO
4500 Cameron Valley Pkwy Ste 100,
Charlotte, NC 28211-3542
(704) 384-7910
(704) 384-7914

Map and Direction




Physician's Profile

Full NameDr Derrick Lewis Blackwell
GenderMale
SpecialityFamily Practice
Experience20 Years
Location4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina
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 Derrick Lewis Blackwell attended and graduated from Ohio University, College Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1134348485
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133218670
  • Enrollment ID: I20140723002059

Medical Identifiers

Medical identifiers for Dr Derrick Lewis Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134348485NPI-NPPES
011221MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101016178 (Michigan)Secondary
207Q00000XFamily Medicine 2014-00430 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Presbyterian Medical CenterCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

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 Derrick Lewis Blackwell allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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 Derrick Lewis 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 AddressPractice Location Address
Dr Derrick Lewis Blackwell, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-8640		Dr Derrick Lewis Blackwell, DO
4500 Cameron Valley Pkwy Ste 100,
Charlotte, NC 28211-3542

Ph: (704) 384-7910

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.