Ethan Wade Blackburn, MD in Louisville, KY - Medicare Orthopedic Surgery

Ethan Wade Blackburn, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Louisville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Community Medical Associates Inc and his current practice location is 315 E Broadway Ste 195, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 629-4263.

Ethan Wade Blackburn is licensed to practice in Kentucky (license number 45826) 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 1538387360.

Contact Information

	Ethan Wade Blackburn, MD
	315 E Broadway Ste 195, Louisville, KY 40202-3700
	(502) 629-4263
	(502) 629-4282

Map and Direction

Physician's Profile

Full Name	Ethan Wade Blackburn
Gender	Male
Speciality	Orthopedic Surgery
Experience	17 Years
Location	315 E Broadway Ste 195, Louisville, Kentucky
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:

Ethan Wade Blackburn attended and graduated from University Of Louisville School Of Medicine in 2007

NPI Data:

NPI Number: 1538387360
Provider Enumeration Date: 04/24/2007
Last Update Date: 01/12/2021

Medicare PECOS Information:

PECOS PAC ID: 1850557513
Enrollment ID: I20130827000298

Medical Identifiers

Medical identifiers for Ethan Wade Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538387360	NPI	-	NPPES
7100250140	Medicaid	KY
000000833108	Other	KY	ANTHEM - LAH
149325	Other	KY	SIHO
50052189	Other	KY	PASSPORT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	45826 (Kentucky)	Secondary
207X00000X	Orthopaedic Surgery	01071401B (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207XS0106X	Orthopaedic Surgery - Hand Surgery	45826 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Medical Associates Inc	7012811284	1179

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. Ethan Wade Blackburn allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

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. Ethan Wade 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
Ethan Wade Blackburn, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Ethan Wade Blackburn, MD 315 E Broadway Ste 195, Louisville, KY 40202-3700 Ph: (502) 629-4263

Reviews and Comments

Orthopaedic Surgery Doctors in Louisville, KY

Cyna Khalily, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 604, Louisville, KY 40202 Phone: 502-629-5633 Fax: 502-629-5580
Dr. Philip O Dripchak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8033 Dixie Hwy, Ste B, Louisville, KY 40258 Phone: 502-449-6448 Fax: 502-449-6455
Dr. Thomas Matthew Gabriel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792
Dr. Shari Rosenberg Gabriel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792
Michael Salamon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr, Suite 200, Louisville, KY 40223 Phone: 502-587-1236 Fax: 502-587-0318
Rolando M Puno, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 900, Louisville, KY 40202 Phone: 502-584-7525 Fax: 502-589-0849
Frank S. Wood, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Liberty St, Suite 1005, Louisville, KY 40202 Phone: 502-589-4448 Fax: 502-589-1209

Ethan Wade Blackburn, MD - Medicare Orthopedic Surgery in Louisville, KY