Mr Keith William Blankman, OD in Lawrenceburg, IN

Mr Keith William Blankman, OD is a medicare enrolled "Optometrist" provider in Lawrenceburg, Indiana. His current practice location is 19908 Augusta Dr, Suite 1, Lawrenceburg, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 537-1998.

Mr Keith William Blankman is licensed to practice in Ohio (license number 5197) 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 1447382593.

Contact Information

	Mr Keith William Blankman, OD
	19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025
	(812) 537-1998
	(812) 537-2744

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith William Blankman
Gender	Male
Speciality	Optometrist
Location	19908 Augusta Dr, Lawrenceburg, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447382593
Provider Enumeration Date: 03/12/2007
Last Update Date: 10/03/2007

Medicare PECOS Information:

PECOS PAC ID: 4880777523
Enrollment ID: I20080219000088

Medical Identifiers

Medical identifiers for Mr Keith William Blankman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447382593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003110A (Indiana)	Secondary
152W00000X	Optometrist	5197 (Ohio)	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. Mr Keith William Blankman allows following entities to bill medicare on his behalf.

Provider Name	Advanced Vision Care Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609829480 PECOS PAC ID: 6608805528 Enrollment ID: O20050810000763

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. Mr Keith William Blankman 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
Mr Keith William Blankman, OD 3357 Smokey Mtn Dr, Lawrenceburg, IN 47025 Ph: (812) 637-5125	Mr Keith William Blankman, OD 19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025 Ph: (812) 537-1998

Reviews and Comments

Optometrist in Lawrenceburg, IN

Dr. Jeffrey James Ahaus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 694 W Eads Pkwy, Lawrenceburg, IN 47025 Phone: 812-537-4733 Fax: 812-537-3934
Kimberly Mayo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 Walnut St, Lawrenceburg, IN 47025 Phone: 812-537-2020
Samantha Hornberger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 24173 Stateline Rd, Ste 200, Lawrenceburg, IN 47025 Phone: 859-283-0068 Fax: 859-283-1096
Dennis G Richter, OD Optometrist Medicare: Medicare Enrolled Practice Location: 403 Walnut St, Lawrenceburg, IN 47025 Phone: 812-537-2020 Fax: 812-537-1157
Lawrenceburg Eye Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 403 Walnut St Ste A, Lawrenceburg, IN 47025 Phone: 812-537-2020
Clovernook Center For The Blind And Visually Impaired Optometrist Medicare: Not Enrolled in Medicare Practice Location: 368 Bielby Rd., Suite #120, Lawrenceburg, IN 47025 Phone: 812-537-0417

Mr Keith William Blankman, OD - Medicare Optometrist in Lawrenceburg, IN