Richard Stanfill Blankenbaker Jr, MD is a medicare enrolled "Specialist" physician in Newport Beach, California. He went to Medical University Of South Carolina College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice San Juan Regional Medical Center, Inc. and his current practice location is
520 Superior Ave, Ste 325, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at
(949) 548-6634.
Richard Stanfill Blankenbaker Jr is licensed to practice in California (license number G76312) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1639273253.
Physician's Profile
| Full Name | Richard Stanfill Blankenbaker Jr |
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| Gender | Male |
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| Speciality | Interventional Cardiology |
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| Experience | 33 Years |
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| Location | 520 Superior Ave, Newport Beach, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Richard Stanfill Blankenbaker Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 1991
NPI Data:
- NPI Number: 1639273253
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547269649
- Enrollment ID: I20240112000704
Medical Identifiers
Medical identifiers for Richard Stanfill Blankenbaker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639273253 | NPI | - | NPPES |
| 010884465 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0011X | Internal Medicine - Interventional Cardiology | MD2023-1626 (New Mexico) | Secondary |
| 174400000X | Specialist | G76312 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
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. Richard Stanfill Blankenbaker Jr allows following entities to bill medicare on his behalf.
| Entity Name | San Juan Regional Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639662901
PECOS PAC ID: 4587559505
Enrollment ID: O20040218000865 |
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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. Richard Stanfill Blankenbaker Jr 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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Richard Stanfill Blankenbaker Jr, MD
520 Superior Ave, Ste 325,
Newport Beach, CA 92663-3667
Ph: (949) 548-6634 | Richard Stanfill Blankenbaker Jr, MD
520 Superior Ave, Ste 325,
Newport Beach, CA 92663-3667
Ph: (949) 548-6634 |
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