Vint Blackburn, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Millvale, Pennsylvania. His current practice location is
132 Howard St, Millvale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 533-3995.
Vint Blackburn is licensed to practice in Pennsylvania (license number MD454399) 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 1205198249.
Physician's Profile
| Full Name | Vint Blackburn |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 132 Howard St, Millvale, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205198249
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618248998
- Enrollment ID: I20170815001339
Medical Identifiers
Medical identifiers for Vint Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205198249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD454399 (Pennsylvania) | 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. Vint Blackburn allows following entities to bill medicare on his behalf.
| Entity Name | Blackburn Psychiatry Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558807925
PECOS PAC ID: 6800167180
Enrollment ID: O20170804000469 |
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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. Vint 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 |
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Vint Blackburn,
132 Howard St,
Millvale, PA 15209-2524
Ph: () - | Vint Blackburn,
132 Howard St,
Millvale, PA 15209-2524
Ph: (412) 533-3995 |
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