Dr Scott L Bleazard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mt Shasta, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mount Shasta Radiology Inc and his current practice location is
914 Pine St, Mt Shasta, California. You can reach out to his office (for appointments etc.) via phone at
(530) 926-9329.
Dr Scott L Bleazard is licensed to practice in California (license number C55792) 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 1679695761.
Physician's Profile
| Full Name | Dr Scott L Bleazard |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 21 Years |
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| Location | 914 Pine St, Mt Shasta, California |
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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 Scott L Bleazard graduated from medical school in 2003
NPI Data:
- NPI Number: 1679695761
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 03/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 1052564101
- Enrollment ID: I20130703000171
Medical Identifiers
Medical identifiers for Dr Scott L Bleazard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679695761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | MD22503 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | C55792 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mount Shasta Radiology Inc | 2062424583 | 4 |
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 Scott L Bleazard allows following entities to bill medicare on his behalf.
| Entity Name | Michael D Maloney |
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| Entity Type | Practitioner - Diagnostic Radiology |
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| Entity Identifiers | NPI Number: 1992787238
PECOS PAC ID: 6103995303
Enrollment ID: I20080514000246 |
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| Entity Name | Mount Shasta Radiology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568431278
PECOS PAC ID: 2062424583
Enrollment ID: O20060628000134 |
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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 Scott L Bleazard 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 Scott L Bleazard, MD
Po Box 1086,
Yreka, CA 96097-1086
Ph: (530) 842-7297 | Dr Scott L Bleazard, MD
914 Pine St,
Mt Shasta, CA 96067
Ph: (530) 926-9329 |
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