William Leonard Blevins, MD in Taos Ski Valley, NM

William Leonard Blevins, MD is a medicare enrolled "Internal Medicine" physician in Taos Ski Valley, New Mexico. His current practice location is 101 Ocean Blvd, Mogul Medical Urgent Care, Taos Ski Valley, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 776-8421.

William Leonard Blevins is licensed to practice in New Mexico (license number 7390) 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 1992762439.

Contact Information

	William Leonard Blevins, MD
	101 Ocean Blvd, Mogul Medical Urgent Care, Taos Ski Valley, NM 87525-0067
	(575) 776-8421
	(575) 776-8942

Map and Direction

Physician's Profile

Full Name	William Leonard Blevins
Gender	Male
Speciality	Internal Medicine
Location	101 Ocean Blvd, Taos Ski Valley, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992762439
Provider Enumeration Date: 04/27/2006
Last Update Date: 01/10/2008

Medicare PECOS Information:

PECOS PAC ID: 2769640606
Enrollment ID: I20120222001035

Medical Identifiers

Medical identifiers for William Leonard Blevins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992762439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	7390 (New Mexico)	Primary
207RX0202X	Internal Medicine - Medical Oncology	6464 (Montana)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	2700 (Alaska)	Secondary
207R00000X	Internal Medicine	M4320 (Idaho)	Secondary

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. William Leonard Blevins allows following entities to bill medicare on his behalf.

Entity Name	Timothy D Peterson, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073818555 PECOS PAC ID: 5799805040 Enrollment ID: O20111207000472

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. William Leonard Blevins 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
William Leonard Blevins, MD Po Box 1108, 45 Calle De Conejo William L Blevins Md, El Prado, NM 87529-1108 Ph: (575) 776-8669	William Leonard Blevins, MD 101 Ocean Blvd, Mogul Medical Urgent Care, Taos Ski Valley, NM 87525-0067 Ph: (575) 776-8421

William Leonard Blevins, MD - Medicare Internal Medicine in Taos Ski Valley, NM