Laura Elizabeth Blackford, MD - Medicare Family Practice in Plymouth, IN

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Laura Elizabeth Blackford, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Indiana. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Saint Joseph Regional Medical Center Inc and her current practice location is 2349 Lake Ave, Suite 100, Plymouth, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 948-5100.

Laura Elizabeth Blackford is licensed to practice in Indiana (license number 01074430) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073892428.

Contact Information

Laura Elizabeth Blackford, MD
2349 Lake Ave, Suite 100,
Plymouth, IN 46563-7835
(574) 948-5100
(574) 948-5499

Map and Direction




Physician's Profile

Full NameLaura Elizabeth Blackford
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location2349 Lake Ave, Plymouth, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laura Elizabeth Blackford graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1073892428
  • Provider Enumeration Date: 08/16/2011
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567686819
  • Enrollment ID: I20140917003050

Medical Identifiers

Medical identifiers for Laura Elizabeth Blackford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073892428NPI-NPPES
000000896281OtherINBCBS
P01504489OtherINRR MEDICARE
201243260MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 008-T1 (Wyoming)Secondary
207Q00000XFamily Medicine 01074430 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Vna Home CareMishawaka, INHome health agency
Laporte Home HealthLa porte, INHome health agency
Home Health Care Solutions LlcAvon, INHome health agency
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital
Pilgrim ManorPlymouth, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center Inc8325950843101

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. Laura Elizabeth Blackford allows following entities to bill medicare on her behalf.
Entity NameSaint Joseph Regional Medical Center- Plymouth Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585187
PECOS PAC ID: 9537071337
Enrollment ID: O20031223000588
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841245594
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameSaint Joseph Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757

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. Laura Elizabeth Blackford 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
Laura Elizabeth Blackford, MD
Po Box 6309,
South Bend, IN 46660-6309

Ph: (574) 335-8700		Laura Elizabeth Blackford, MD
2349 Lake Ave, Suite 100,
Plymouth, IN 46563-7835

Ph: (574) 948-5100

Reviews and Comments


Family Medicine Doctors in Plymouth, IN

Viraj S Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1904 Lake Ave, Plymouth, IN 46563
Phone: 574-936-3178    Fax: 574-936-1084
Rebecca M Brice, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Lake Ave, Plymouth, IN 46563
Phone: 574-948-4000    Fax: 574-948-5454
Abdul Sami Qazi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Lake Ave, Plymouth, IN 46563
Phone: 574-948-4000    Fax: 574-948-5454
Craig B Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-948-5499
Tod Alan Stillson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 E Jefferson St, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-335-0745
Dr. Sally Beazlie-walker, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 E Jefferson St, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-348-0745

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.