Marcus Kim Blackburn, MD in Salt Lake City, UT

Marcus Kim Blackburn, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. His current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5702.

Marcus Kim Blackburn is licensed to practice in Utah (license number 7148440-1205) 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 1598919409.

Contact Information

	Marcus Kim Blackburn, MD
	100 Mario Capecchi Dr, Salt Lake City, UT 84112-8924
	(801) 662-5702
	Not Available

Map and Direction

Physician's Profile

Full Name	Marcus Kim Blackburn
Gender	Male
Speciality	Pediatrics
Location	100 Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598919409
Provider Enumeration Date: 11/06/2008
Last Update Date: 11/06/2008

Medicare PECOS Information:

PECOS PAC ID: 8628291812
Enrollment ID: I20140515000313

Medical Identifiers

Medical identifiers for Marcus Kim Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598919409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7148440-1205 (Utah)	Primary

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. Marcus Kim Blackburn allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Marcus Kim Blackburn 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
Marcus Kim Blackburn, MD 100 Mario Capecchi Dr, Salt Lake City, UT 84112-8924 Ph: (801) 662-5702	Marcus Kim Blackburn, MD 100 Mario Capecchi Dr, Salt Lake City, UT 84112-8924 Ph: (801) 662-5702

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Marcus Kim Blackburn, MD - Medicare Pediatrics in Salt Lake City, UT