Dustin Patrick Blackwell, DO is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Vincennes, Indiana. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Good Samaritan Hospital Physician Services Inc and his current practice location is
700 Willow St Ste 203, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 882-1000.
Dustin Patrick Blackwell is licensed to practice in Indiana (license number 02005674A) 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 1841682374.
Physician's Profile
| Full Name | Dustin Patrick Blackwell |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics/gynecology |
|---|
| Experience | 9 Years |
|---|
| Location | 700 Willow St Ste 203, Vincennes, Indiana |
|---|
| 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:
- Dustin Patrick Blackwell graduated from medical school in 2015
NPI Data:
- NPI Number: 1841682374
- Provider Enumeration Date: 02/20/2015
- Last Update Date: 03/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789950858
- Enrollment ID: I20190803000136
Medical Identifiers
Medical identifiers for Dustin Patrick Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841682374 | NPI | - | NPPES |
| 300028633 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 02005674B (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 02005674A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Good Samaritan Hospital Physician Services Inc | 3971671330 | 123 |
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. Dustin Patrick Blackwell allows following entities to bill medicare on his behalf.
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649432071
PECOS PAC ID: 3971671330
Enrollment ID: O20081013000182 |
|---|
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. Dustin Patrick Blackwell 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 |
|---|
Dustin Patrick Blackwell, DO
1160 E Saint Clair St., Nichole Ash,
Vincennes, IN 47591-4853
Ph: (812) 885-3106 | Dustin Patrick Blackwell, DO
700 Willow St Ste 203,
Vincennes, IN 47591-1029
Ph: (812) 882-1000 |
Reviews and Comments