Kerry Alan Blackham, DO - Medicare General Practice in Philip, SD

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Kerry Alan Blackham, DO is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Philip, South Dakota. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Philip Health Services Inc and his current practice location is 503 W Pine St, Philip, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 859-2566.

Kerry Alan Blackham is licensed to practice in South Dakota (license number 9452) 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 1922014273.

Contact Information

Kerry Alan Blackham, DO
503 W Pine St,
Philip, SD 57567-0550
(605) 859-2566
(605) 859-2948

Map and Direction




Physician's Profile

Full NameKerry Alan Blackham
GenderMale
SpecialityGeneral Practice
Experience28 Years
Location503 W Pine St, Philip, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kerry Alan Blackham graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1922014273
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6800789439
  • Enrollment ID: I20160823000327

Medical Identifiers

Medical identifiers for Kerry Alan Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922014273NPI-NPPES
S110986MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 9452 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hans P Peterson Memorial Hospital - CahPhilip, SDHospital
Monument Health Rapid City HospitalRapid city, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Philip Health Services Inc72148318667

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. Kerry Alan Blackham allows following entities to bill medicare on his behalf.
Entity NamePhilip Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700838117
PECOS PAC ID: 7214831866
Enrollment ID: O20040528000675

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. Kerry Alan Blackham 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 AddressPractice Location Address
Kerry Alan Blackham, DO
503 West Pine,
Philip, SD 57567-0550

Ph: (605) 859-2566		Kerry Alan Blackham, DO
503 W Pine St,
Philip, SD 57567-0550

Ph: (605) 859-2566

Reviews and Comments


Family Medicine Doctors in Philip, SD

Dr. David A Holman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 W Pine St, Philip, SD 57567
Phone: 605-859-2566    Fax: 605-859-2948
Terry W Henrie, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 W Pine St, Philip, SD 57567
Phone: 605-859-2566    Fax: 605-859-2948
Robin R Peterson-lund, CNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 503 W Pine St, Philip, SD 57567
Phone: 605-859-2566    Fax: 605-859-2948

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.