Thomas Harold Blackwell, MD in Simpsonville, SC

Thomas Harold Blackwell, MD is a medicare enrolled "Emergency Medicine" physician in Simpsonville, South Carolina. His current practice location is 300 Scuffletown Rd, Simpsonville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 329-0029.

Thomas Harold Blackwell is licensed to practice in South Carolina (license number 34991) 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 1770508020.

Contact Information

	Thomas Harold Blackwell, MD
	300 Scuffletown Rd, Simpsonville, SC 29681-7204
	(864) 329-0029
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas Harold Blackwell
Gender	Male
Speciality	Emergency Medicine
Location	300 Scuffletown Rd, Simpsonville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770508020
Provider Enumeration Date: 07/13/2006
Last Update Date: 03/03/2014

Medicare PECOS Information:

PECOS PAC ID: 4385646264
Enrollment ID: I20120803000021

Medical Identifiers

Medical identifiers for Thomas Harold Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770508020	NPI	-	NPPES
16021	Other	NC	NCBCBS
N35587	Medicaid	SC
8916021	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35587 (North Carolina)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	35587 (North Carolina)	Secondary
207P00000X	Emergency Medicine	34991 (South Carolina)	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. Thomas Harold Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

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. Thomas Harold Blackwell 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
Thomas Harold Blackwell, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044	Thomas Harold Blackwell, MD 300 Scuffletown Rd, Simpsonville, SC 29681-7204 Ph: (864) 329-0029

Reviews and Comments

Emergency Medicine Doctors in Simpsonville, SC

Dr. Raymond V Romano, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 Batesville Road, The Oaks At Five Forks -, Simpsonville, SC 29681 Phone: 864-849-9170 Fax: 864-849-9193
Dina Sharpe Nabors, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029 Fax: 864-329-8125
Adrian P. Corlette Sr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ridge Way, Simpsonville, SC 29680 Phone: 864-862-9043

Thomas Harold Blackwell, MD - Medicare Emergency Medicine in Simpsonville, SC