Zachary Dylan Blackstun, in Plymouth, MN

Zachary Dylan Blackstun, is a medicare enrolled "Anesthesiology" physician in Plymouth, Minnesota. His current practice location is 14700 28th Ave N Ste 20, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 559-7779.

Zachary Dylan Blackstun is licensed to practice in Minnesota (license number 73539) 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 1245891175.

Contact Information

	Zachary Dylan Blackstun,
	14700 28th Ave N Ste 20, Plymouth, MN 55447-4876
	(763) 559-7779
	(763) 450-3986

Map and Direction

Physician's Profile

Full Name	Zachary Dylan Blackstun
Gender	Male
Speciality	Anesthesiology
Location	14700 28th Ave N Ste 20, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245891175
Provider Enumeration Date: 06/21/2019
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4385978873
Enrollment ID: I20230725002391

Medical Identifiers

Medical identifiers for Zachary Dylan Blackstun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245891175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	73539 (Minnesota)	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. Zachary Dylan Blackstun allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

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. Zachary Dylan Blackstun 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
Zachary Dylan Blackstun, Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3770	Zachary Dylan Blackstun, 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-7779

Reviews and Comments

Anesthesiology Doctors in Plymouth, MN

Peter William Coleman, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 635-593-7797 Fax: 763-450-3986
Dr. Jeffrey Mark Wise Ii, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Robby Singh Sikka, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N, Suite 20, Plymouth, MN 55447 Phone: 612-701-2080
Dr. Kathryn Rose Teague, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Britta Anne Dosland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Steven Beckley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N, 20, Plymouth, MN 55447 Phone: 763-559-3779

Zachary Dylan Blackstun, - Medicare Anesthesiology in Plymouth, MN