Dr Jack Thomas Blackwell Jr, MD - Medicare Anesthesiology in Savannah, GA

Dr Jack Thomas Blackwell Jr, MD is a medicare enrolled "Anesthesiology" physician in Savannah, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Ams Southeast Llc and his current practice location is 415 Eisenhower Dr, Ste 6, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 354-3510.

Dr Jack Thomas Blackwell Jr is licensed to practice in Georgia (license number 023908) 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 1356332100.

Contact Information

Dr Jack Thomas Blackwell Jr, MD
415 Eisenhower Dr, Ste 6,
Savannah, GA 31406-2600
(912) 354-3510
(912) 356-3391

Map and Direction




Physician's Profile

Full NameDr Jack Thomas Blackwell Jr
GenderMale
SpecialityAnesthesiology
Experience45 Years
Location415 Eisenhower Dr, Savannah, Georgia
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 Jack Thomas Blackwell Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1356332100
  • Provider Enumeration Date: 11/01/2005
  • Last Update Date: 06/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173520442
  • Enrollment ID: I20061030000149

Medical Identifiers

Medical identifiers for Dr Jack Thomas Blackwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356332100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 023908 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
East Georgia Regional Medical CenterStatesboro, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ams Southeast Llc387088079266

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 Jack Thomas Blackwell Jr allows following entities to bill medicare on his behalf.
Entity NameGeorgia Anesthesia And Pain Managment
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053419044
PECOS PAC ID: 2466459722
Enrollment ID: O20061030000132
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameAms Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551

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 Jack Thomas Blackwell Jr 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 Jack Thomas Blackwell Jr, MD
1499 Fair Rd,
Statesboro, GA 30458-1683

Ph: (912) 486-1482
Dr Jack Thomas Blackwell Jr, MD
415 Eisenhower Dr, Ste 6,
Savannah, GA 31406-2600

Ph: (912) 354-3510

Reviews and Comments


Anesthesiology Doctors in Savannah, GA

Franklyn Philip Bousquet Iii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 11705 Mercy Blvd, Savannah, GA 31419
Phone: 912-819-6000    
Christopher Osteen, MD
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Phone: 912-819-4100    
Judson P Cuttino, MD
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Practice Location: 8 Stephenson Ave, Savannah, GA 31405
Phone: 912-354-2479    
Nicole Marie Tetro, CAA
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Practice Location: 5353 Reynolds St, Savannah, GA 31405
Phone: 912-819-6000    
Natalie Eatmon, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 8 Stephenson Ave, Savannah, GA 31405
Phone: 912-654-2479    
Zachary Haas, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5353 Reynolds St, Savannah, GA 31405
Phone: 912-819-6000    
David Heimbinder,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Waters Ave, Savannah, GA 31404
Phone: 912-350-8000    

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.