Dr Shelley L Blackburn, MD in Columbus, OH

Dr Shelley L Blackburn, MD is a medicare enrolled "Family Medicine" physician in Columbus, Ohio. She went to Ohio State University College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ohiohealth Corporation, Michael L Weiss Md Ltd and her current practice location is 4626 Sawmill Rd, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 538-9339.

Dr Shelley L Blackburn is licensed to practice in Ohio (license number 35057267) 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 1750327565.

Contact Information

	Dr Shelley L Blackburn, MD
	4626 Sawmill Rd, Columbus, OH 43220-2247
	(614) 538-9339
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shelley L Blackburn
Gender	Female
Speciality	Family Practice
Experience	37 Years
Location	4626 Sawmill Rd, Columbus, Ohio
Accepts Medicare Assignments	Yes. 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 Shelley L Blackburn attended and graduated from Ohio State University College Of Medicine in 1987

NPI Data:

NPI Number: 1750327565
Provider Enumeration Date: 06/21/2006
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9133279177
Enrollment ID: I20090612000001

Medical Identifiers

Medical identifiers for Dr Shelley L Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750327565	NPI	-	NPPES
0768745	Medicaid	OH
080193046	Other		MEDICARE RAILROAD
000000251080	Other		ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35057267B (Ohio)	Secondary
207Q00000X	Family Medicine	35057267 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Methodist Hospital	Columbus, OH	Hospital
Dublin Methodist Hospital	Dublin, OH	Hospital
Grant Medical Center	Columbus, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohiohealth Corporation	6305758426	1940
Michael L Weiss Md Ltd	9638191695	3

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 Shelley L Blackburn allows following entities to bill medicare on her behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Michael L Weiss Md Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285670646 PECOS PAC ID: 9638191695 Enrollment ID: O20100105000362

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 Shelley L Blackburn 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 Shelley L Blackburn, MD 4626 Sawmill Rd, Columbus, OH 43220-2247 Ph: (614) 538-9339	Dr Shelley L Blackburn, MD 4626 Sawmill Rd, Columbus, OH 43220-2247 Ph: (614) 538-9339

Reviews and Comments

Family Medicine Doctors in Columbus, OH

Dr. Teresa Thuanh Phan, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 41 S High St, Suite 25, Columbus, OH 43215 Phone: 614-533-6700 Fax: 614-224-8562
Dr. Anne Marie Kessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 E Town St, Columbus, OH 43215 Phone: 614-788-5400 Fax: 614-788-5500
Labronz C Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2872 W Broad St, Columbus, OH 43204 Phone: 614-279-9905 Fax: 614-279-0213
Dana S Vallangeon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 524b W Broad St, Columbus, OH 43215 Phone: 614-225-0990 Fax: 614-225-0988
Scott H Merryman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3773 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5356 Fax: 614-566-3835
Karen Alice Clemency, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1020 Dennison Ave, Suite 200, Columbus, OH 43201 Phone: 614-564-9067 Fax: 614-564-9167
Marc Evan Serve, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Polaris Pkwy Ste 200, Columbus, OH 43240 Phone: 614-880-9333 Fax: 614-880-9333

Dr Shelley L Blackburn, MD - Medicare Family Practice in Columbus, OH