Jeremy Ty Blackwell, MD in Jasper, AL - Medicare Family Practice

Jeremy Ty Blackwell, MD is a medicare enrolled "Family Medicine" physician in Jasper, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Walker Medical Diagnostics, Llc and his current practice location is 1450 Jones Dairy Road, Bldg 900, Jasper, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 387-8159.

Jeremy Ty Blackwell is licensed to practice in Alabama (license number 27715) 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 1205053352.

Contact Information

	Jeremy Ty Blackwell, MD
	1450 Jones Dairy Road, Bldg 900, Jasper, AL 35501-6108
	(205) 387-8159
	(205) 387-8262

Map and Direction

Physician's Profile

Full Name	Jeremy Ty Blackwell
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	1450 Jones Dairy Road, Jasper, Alabama
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:

Jeremy Ty Blackwell attended and graduated from University Of Alabama School Of Medicine in 2005

NPI Data:

NPI Number: 1205053352
Provider Enumeration Date: 04/19/2007
Last Update Date: 02/01/2013

Medicare PECOS Information:

PECOS PAC ID: 9638278138
Enrollment ID: I20070625000435

Medical Identifiers

Medical identifiers for Jeremy Ty Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205053352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27715 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alacare Home Health & Hospice	Birmingham, AL	Hospice
Walker Baptist Medical Center	Jasper, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Walker Medical Diagnostics, Llc	8921000845	7

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. Jeremy Ty Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Walker Medical Diagnostics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649350646 PECOS PAC ID: 8921000845 Enrollment ID: O20070206000502

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. Jeremy Ty 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
Jeremy Ty Blackwell, MD 1450 Jones Dairy Road, Bldg 600, Jasper, AL 35501-6109 Ph: (205) 387-8159	Jeremy Ty Blackwell, MD 1450 Jones Dairy Road, Bldg 900, Jasper, AL 35501-6108 Ph: (205) 387-8159

Reviews and Comments

Family Medicine Doctors in Jasper, AL

Donald Ray Ashley Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Birmingham Ave, Jasper, AL 35501 Phone: 205-384-4458 Fax: 205-384-4428
Dr. Evelyn Ann Leonard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 20th Ave E, Jasper, AL 35501 Phone: 205-384-0311
Jane Herald, Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 N Airport Rd, Jasper, AL 35504 Phone: 205-221-9351
Dr. Scott Hull Boswell, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 2905 Long Ridge Dr, Jasper, AL 35504 Phone: 205-275-9075
Dr. Yu-yong Tai, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Viking Dr, Jasper, AL 35501 Phone: 205-221-5714 Fax: 205-221-5445
Dr. Daniel Kirk Mcdonald, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Birmingham Ave, Jasper, AL 35501 Phone: 205-384-4585 Fax: 205-384-4428

Jeremy Ty Blackwell, MD - Medicare Family Practice in Jasper, AL