Dr Thomas Blanks, MD in Gulfport, MS - Medicare Internal Medicine

Dr Thomas Blanks, MD is a medicare enrolled "Internal Medicine" physician in Gulfport, Mississippi. His current practice location is 1110 Broad Ave, Suite 700, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 864-0314.

Dr Thomas Blanks is licensed to practice in Mississippi (license number 08702) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063452639.

Contact Information

	Dr Thomas Blanks, MD
	1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907
	(228) 864-0314
	(228) 864-0425

Map and Direction

Physician's Profile

Full Name	Dr Thomas Blanks
Gender	Male
Speciality	Internal Medicine
Location	1110 Broad Ave, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063452639
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/10/2014

Medicare PECOS Information:

PECOS PAC ID: 1850467481
Enrollment ID: I20080905000365

Medical Identifiers

Medical identifiers for Dr Thomas Blanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063452639	NPI	-	NPPES
00112507	Medicaid	MS
P00651241	Other	MS	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	08702 (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 Thomas Blanks allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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 Thomas Blanks 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 Thomas Blanks, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 865-1453	Dr Thomas Blanks, MD 1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 Ph: (228) 864-0314

Reviews and Comments

Internal Medicine Doctors in Gulfport, MS

Dr. Nabil Azar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501 Phone: 228-575-1400 Fax: 228-575-1414
Indrajit J Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152
Dr. Stephanie Fussell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501 Phone: 228-575-1234 Fax: 228-867-4828
Dr. Malcolm Scott Dean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152
Matthew Jacob Murray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Ashley Dr, Gulfport, MS 39503 Phone: 228-831-1572 Fax: 228-831-1218
Dr. Mark D Borchelt, MD, FACE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598

Dr Thomas Blanks, MD - Medicare Internal Medicine in Gulfport, MS