Dr Kory Blank, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fairfield, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Fairfield Memorial Hospital Association and his current practice location is
303 Nw 11th St, Fairfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 847-4282.
Dr Kory Blank is licensed to practice in Illinois (license number 125.068544) 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 1508214669.
Physician's Profile
| Full Name | Dr Kory Blank |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 3 Years |
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| Location | 303 Nw 11th St, Fairfield, Illinois |
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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 Kory Blank attended and graduated from Southern Illinois University School Of Medicine in 2021
NPI Data:
- NPI Number: 1508214669
- Provider Enumeration Date: 05/31/2016
- Last Update Date: 09/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759673478
- Enrollment ID: I20210826002227
Medical Identifiers
Medical identifiers for Dr Kory Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508214669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 125.068544 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairfield Memorial Hospital Association | 5698671741 | 24 |
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 Kory Blank allows following entities to bill medicare on his behalf.
| Entity Name | Fairfield Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649442419
PECOS PAC ID: 5698671741
Enrollment ID: O20041124000368 |
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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 Kory Blank 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 Kory Blank, MD
213 Nw 10th St, Ste E,
Fairfield, IL 62837-1206
Ph: (618) 847-4282 | Dr Kory Blank, MD
303 Nw 11th St,
Fairfield, IL 62837-1203
Ph: (618) 847-4282 |
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