Mr Mark Blackwelder, MD in Ruston, LA - Medicare Internal Medicine

Mr Mark Blackwelder, MD is a medicare enrolled "Internal Medicine" physician in Ruston, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Green Clinic Llc and his current practice location is 1200 S Farmerville St, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 255-3690.

Mr Mark Blackwelder is licensed to practice in Louisiana (license number 18456) 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 1245200880.

Contact Information

	Mr Mark Blackwelder, MD
	1200 S Farmerville St, Ruston, LA 71270-5941
	(318) 255-3690
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Mark Blackwelder
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	1200 S Farmerville St, Ruston, Louisiana
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:

Mr Mark Blackwelder attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1985

NPI Data:

NPI Number: 1245200880
Provider Enumeration Date: 01/25/2006
Last Update Date: 10/15/2009

Medicare PECOS Information:

PECOS PAC ID: 0345320974
Enrollment ID: I20100303001150

Medical Identifiers

Medical identifiers for Mr Mark Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245200880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	18456 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nursesource Home Care	Ruston, LA	Home health agency
Magnolia Home Health Care, Inc	Arcadia, LA	Home health agency
Northern Louisiana Medical Center	Ruston, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Green Clinic Llc	4789668831	50

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. Mr Mark Blackwelder allows following entities to bill medicare on his behalf.

Entity Name	Green Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177

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. Mr Mark Blackwelder 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
Mr Mark Blackwelder, MD 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690	Mr Mark Blackwelder, MD 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690

Reviews and Comments

Internal Medicine Doctors in Ruston, LA

Andrew Joseph Smith, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-251-6295 Fax: 318-251-6269
Mr. George B Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690
Ofundem Rose Gwan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1406 S Vienna St, Ruston, LA 71270 Phone: 318-232-2456 Fax: 318-232-2457
Elvin Gregory Tubre, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-251-6390 Fax: 318-251-6390
Miss Holly Kidd, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690
Sedo Tamakloe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690

Mr Mark Blackwelder, MD - Medicare Internal Medicine in Ruston, LA