Dr Mallory Blakeslee, DO - Medicare Emergency Medicine in Gulfport, MS

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Dr Mallory Blakeslee, DO is a medicare enrolled "Emergency Medicine" physician in Gulfport, Mississippi. Her current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 575-2000.

Dr Mallory Blakeslee is licensed to practice in Mississippi (license number 25885) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932516945.

Contact Information

Dr Mallory Blakeslee, DO
4500 13th St,
Gulfport, MS 39501-2569
(228) 575-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Mallory Blakeslee
GenderFemale
SpecialityEmergency Medicine
Location4500 13th St, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932516945
  • Provider Enumeration Date: 07/22/2014
  • Last Update Date: 04/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244549715
  • Enrollment ID: I20151023000433

Medical Identifiers

Medical identifiers for Dr Mallory Blakeslee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932516945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 52R (Oklahoma)Secondary
207P00000XEmergency Medicine 25885 (Mississippi)Primary

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 Mallory Blakeslee allows following entities to bill medicare on her behalf.
Entity NameEmergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20050207000313
Entity NameHospital Care Consultants Region Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558491449
PECOS PAC ID: 8820197064
Enrollment ID: O20070727000300
Entity NameOklahoma Emergency Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891039764
PECOS PAC ID: 0345493649
Enrollment ID: O20130118000115
Entity NameEmergency Physicians Of Mid-america Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825297
PECOS PAC ID: 2062638661
Enrollment ID: O20140716001692

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 Mallory Blakeslee 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 Mallory Blakeslee, DO
4500 13th St,
Gulfport, MS 39501-2569

Ph: (228) 575-2000		Dr Mallory Blakeslee, DO
4500 13th St,
Gulfport, MS 39501-2569

Ph: (228) 575-2000

Reviews and Comments


Emergency Medicine Doctors in Gulfport, MS

William H. Grover, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3151    Fax: 228-867-4124
Mr. Charlton Paige Dennison, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11446 Ashton Ln E, Gulfport, MS 39503
Phone: 205-344-2044    
David Sawyer, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3151    Fax: 228-867-4124
Dr. Debra Ann Hebert, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7120    Fax: 228-575-7103
Zackary Fordham, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 13th St, Gulfport, MS 39502
Phone: 601-672-3173    
Dr. Martha Ann Dempsey, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1800 Beach Dr, Gulfport, MS 39507
Phone: 228-897-4450    Fax: 228-897-4450
Dr. Drew Weber, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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.

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