Dr Douglas Hunt Blackledge, DO is a medicare enrolled "Anesthesiology" physician in Waynesboro, Mississippi. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Meridian Anesthesiology Group, Inc, Medical Foundation Inc and his current practice location is
950 Matthew Dr, Waynesboro, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 735-7246.
Dr Douglas Hunt Blackledge is licensed to practice in Mississippi (license number 23160) 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 1659683266.
Physician's Profile
| Full Name | Dr Douglas Hunt Blackledge |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 14 Years |
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| Location | 950 Matthew Dr, Waynesboro, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Hunt Blackledge graduated from medical school in 2010
NPI Data:
- NPI Number: 1659683266
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 03/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789802828
- Enrollment ID: I20140902001539
Medical Identifiers
Medical identifiers for Dr Douglas Hunt Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659683266 | NPI | - | NPPES |
| 03504265 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | T-2288 (Mississippi) | Secondary |
| 207L00000X | Anesthesiology | 23160 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Meridian Anesthesiology Group, Inc | 1759345192 | 18 |
| Medical Foundation Inc | 9234043712 | 124 |
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 Douglas Hunt Blackledge allows following entities to bill medicare on his behalf.
| Entity Name | Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609820539
PECOS PAC ID: 9234043712
Enrollment ID: O20031118000855 |
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| Entity Name | Wayne General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865 |
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| Entity Name | Meridian Anesthesiology Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639181019
PECOS PAC ID: 1759345192
Enrollment ID: O20041116000675 |
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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 Douglas Hunt Blackledge 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 Douglas Hunt Blackledge, DO
103 Breckenridge Dr,
Waynesboro, MS 39367-3134
Ph: (601) 671-1155 | Dr Douglas Hunt Blackledge, DO
950 Matthew Dr,
Waynesboro, MS 39367-2567
Ph: (601) 735-7246 |
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