Dr Russell Steven Blackwelder, MD, MDIV in Charleston, SC

Dr Russell Steven Blackwelder, MD, MDIV is a medicare enrolled "Family Medicine" physician in Charleston, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Medical Associates and his current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Dr Russell Steven Blackwelder is licensed to practice in South Carolina (license number 34724) 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 1407118508.

Contact Information

	Dr Russell Steven Blackwelder, MD, MDIV
	171 Ashley Ave, Charleston, SC 29425-8908
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Russell Steven Blackwelder
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Yes. 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 Russell Steven Blackwelder attended and graduated from Medical University Of South Carolina College Of Medicine in 2012

NPI Data:

NPI Number: 1407118508
Provider Enumeration Date: 06/13/2012
Last Update Date: 06/22/2015

Medicare PECOS Information:

PECOS PAC ID: 2062650815
Enrollment ID: I20140128001870

Medical Identifiers

Medical identifiers for Dr Russell Steven Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407118508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL34724 (South Carolina)	Secondary
207Q00000X	Family Medicine	34724 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Charleston	North charleston, SC	Home health agency
Amedisys Home Health Of Charleston East	Charleston, SC	Home health agency
Interim Healthcare	North charleston, SC	Home health agency
Hospice Of Charleston	North charleston, SC	Hospice
Musc Medical Center	Charleston, SC	Hospital
Mount Pleasant Hospital	Mount pleasant, SC	Hospital
Trident Medical Center	Charleston, SC	Hospital
Presbyterian Communities Of South Carolina-summerv	Summerville, SC	Nursing home
Shem Creek Nursing And Rehab	Mount pleasant, SC	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Associates	6305758574	1311

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 Russell Steven Blackwelder allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

Entity Name	Elite Patient Care Of South Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866

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 Russell Steven Blackwelder 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 Russell Steven Blackwelder, MD, MDIV Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Dr Russell Steven Blackwelder, MD, MDIV 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414

Reviews and Comments

Family Medicine Doctors in Charleston, SC

Huyen Bui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-792-3451
Dr. Charles T Tweel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 803-722-4112
Alexander Chessman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Justin William Dean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2125 Charlie Hall Bvld, Ste 2, Charleston, SC 29414 Phone: 843-876-3151
Yolanda Bryant, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Lizina Blessing Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Dr. Donald P Hurley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414 Phone: 843-766-1936 Fax: 843-766-1206

Dr Russell Steven Blackwelder, MD, MDIV - Medicare Family Practice in Charleston, SC