Matthew Blanchard, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gulfport, Mississippi. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2017 and has 7 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Ir Rehab, P.c. and his current practice location is
15476 Dedeaux Rd Ste B, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 230-2663.
Matthew Blanchard is licensed to practice in Mississippi (license number 28793) 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 1043741705.
Physician's Profile
| Full Name | Matthew Blanchard |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 7 Years |
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| Location | 15476 Dedeaux Rd Ste B, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew Blanchard attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2017
NPI Data:
- NPI Number: 1043741705
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557635414
- Enrollment ID: I20210927001519
Medical Identifiers
Medical identifiers for Matthew Blanchard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043741705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | T6835 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 28793 (Mississippi) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | T6835 (Texas) | Secondary |
| 207L00000X | Anesthesiology | 28793 (Mississippi) | Secondary |
| 207L00000X | Anesthesiology | T6835 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ir Rehab, P.c. | 1153453691 | 126 |
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. Matthew Blanchard allows following entities to bill medicare on his behalf.
| Entity Name | Bienville Orthopaedic Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689605834
PECOS PAC ID: 0547155178
Enrollment ID: O20040220000834 |
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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. Matthew Blanchard 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 |
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Matthew Blanchard, MD
6300 E Lake Blvd Ste 301,
Vancleave, MS 39565-6771
Ph: (228) 230-2663 | Matthew Blanchard, MD
15476 Dedeaux Rd Ste B,
Gulfport, MS 39503-2637
Ph: (228) 230-2663 |
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