Richard Stanfill Blankenbaker Jr, MD is a medicare enrolled "Specialist" physician in Newport Beach, California. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1639273253
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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