Keith Blankenship, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. His current practice location is
405 W Grand Ave, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 723-3200.
Keith Blankenship is licensed to practice in Ohio (license number 58.031907) 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 1467032110.
Physician's Profile
Full Name | Keith Blankenship |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 405 W Grand Ave, Dayton, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467032110
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527467828
- Enrollment ID: I20210518002060
Medical Identifiers
Medical identifiers for Keith Blankenship such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467032110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 58.031907 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 58.031907 (Ohio) | Primary |
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. Keith Blankenship 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 |
Keith Blankenship, DO 405 W Grand Ave, Dayton, OH 45405-7538 Ph: () - | Keith Blankenship, DO 405 W Grand Ave, Dayton, OH 45405-7538 Ph: (937) 723-3200 |
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