Keith Edward Blackwell, MD in Los Angeles, CA

Keith Edward Blackwell, MD is a medicare enrolled "Otolaryngology" physician in Los Angeles, California. He went to Northwestern University Womans Medical School and graduated in 1988 and has 36 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Regents Of The University Of California and his current practice location is 200 Medical Plz, #550, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 206-6688.

Keith Edward Blackwell is licensed to practice in California (license number G68815) 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 1669496964.

Contact Information

	Keith Edward Blackwell, MD
	200 Medical Plz, #550, Los Angeles, CA 90095-0001
	(310) 206-6688
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Edward Blackwell
Gender	Male
Speciality	Otolaryngology
Experience	36 Years
Location	200 Medical Plz, Los Angeles, California
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:

Keith Edward Blackwell attended and graduated from Northwestern University Womans Medical School in 1988

NPI Data:

NPI Number: 1669496964
Provider Enumeration Date: 07/27/2006
Last Update Date: 08/31/2010

Medicare PECOS Information:

PECOS PAC ID: 9739231226
Enrollment ID: I20090714000536

Medical Identifiers

Medical identifiers for Keith Edward Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669496964	NPI	-	NPPES
00G68150	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	G68815 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	6406749308	31

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. Keith Edward Blackwell allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935251 PECOS PAC ID: 6406749308 Enrollment ID: O20040204000971

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 Edward 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
Keith Edward Blackwell, MD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 206-6688	Keith Edward Blackwell, MD 200 Medical Plz, #550, Los Angeles, CA 90095-0001 Ph: (310) 206-6688

Reviews and Comments

Otolaryngology Doctors in Los Angeles, CA

Dr. Marc D Levy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12021 Wilmington Ave, Dept Of Otolaryngology, Los Angeles, CA 90059 Phone: 310-668-4536
Geoffrey B Trenkle, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave Ste 2500, Los Angeles, CA 90033 Phone: 323-268-6731 Fax: 323-268-6738
Dr. Roxana Moayer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 5100, Los Angeles, CA 90033 Phone: 323-442-5790
Joel Avram Sercarz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, #550, Los Angeles, CA 90095 Phone: 310-206-6688
Maie Abdul-rahman St John, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plaza, #550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-206-4105
Alisa Zhukhovitskaya, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-825-2810
Margaret Crystal Nurimba, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1200 N. State Street, Clinic Tower, Suite A2e, Los Angeles, CA 90033 Phone: 323-442-4830

Keith Edward Blackwell, MD - Medicare Otolaryngology in Los Angeles, CA