Dr Kellie Miranda Smith Blackwell, DO - Medicare Family Practice in Abingdon, VA

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Dr Kellie Miranda Smith Blackwell, DO is a medicare enrolled "Family Medicine" physician in Abingdon, Virginia. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice State Of Franklin Healthcare Associates, Pllc, State Of Franklin Healthcare Associates, Pllc and her current practice location is 117 Cook St, Abingdon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 619-5052.

Dr Kellie Miranda Smith Blackwell is licensed to practice in Virginia (license number 0102203141) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104053891.

Contact Information

Dr Kellie Miranda Smith Blackwell, DO
117 Cook St,
Abingdon, VA 24210-3203
(276) 619-5052
(276) 619-5115

Map and Direction




Physician's Profile

Full NameDr Kellie Miranda Smith Blackwell
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location117 Cook St, Abingdon, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kellie Miranda Smith Blackwell attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2009
  NPI Data:
  • NPI Number: 1104053891
  • Provider Enumeration Date: 06/19/2009
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820245749
  • Enrollment ID: I20120913000229

Medical Identifiers

Medical identifiers for Dr Kellie Miranda Smith Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104053891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5527 (Tennessee)Secondary
207Q00000XFamily Medicine 0102203141 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareAbingdon, VAHome health agency
Johnston Memorial HospitalAbingdon, VAHospital
Wellmont Bristol Regional Medical CenterBristol, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Franklin Healthcare Associates, Pllc2466346291247
State Of Franklin Healthcare Associates, Pllc2466346291247

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 Kellie Miranda Smith Blackwell allows following entities to bill medicare on her behalf.
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040826000462

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 Kellie Miranda Smith 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 Kellie Miranda Smith Blackwell, DO
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 433-6625		Dr Kellie Miranda Smith Blackwell, DO
117 Cook St,
Abingdon, VA 24210-3203

Ph: (276) 619-5052

Reviews and Comments


Family Medicine Doctors in Abingdon, VA

Jacquelyn Burt,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211
Phone: 276-619-0075    Fax: 276-619-0077
Lura S Miller, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 613 Campus Dr, Suite 200, Abingdon, VA 24210
Phone: 276-628-1186    Fax: 276-628-8507
Kaley Kuntz,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 613 Campus Dr Ste 200, Abingdon, VA 24210
Phone: 276-628-1186    Fax: 276-628-8507
Nermene George Wilson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Primary Care Center, 613 Campus Drive Suite #200, Abingdon, VA 24210
Phone: 714-326-6001    
Dr. Mhroos Faik Barak Peters, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Johnston Memorial Dr Fl 4, Abingdon, VA 24211
Phone: 276-258-1000    
William M Handy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 389 Falls Nwdr, Abingdon, VA 24210
Phone: 276-623-0740    Fax: 276-623-0660

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.