Dr Kendall Leon Blackwell, DPM in Wilson, NC

Dr Kendall Leon Blackwell, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Wilson, North Carolina. He went to Kent State University College Of Podiatric Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Instride Foot And Ankle Specialists, Pllc and his current practice location is 1704 Glendale Dr Sw, Suite A, Wilson, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 237-0138.

Dr Kendall Leon Blackwell is licensed to practice in North Carolina (license number 238) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366483638.

Contact Information

	Dr Kendall Leon Blackwell, DPM
	1704 Glendale Dr Sw, Suite A, Wilson, NC 27893-4678
	(252) 237-0138
	(252) 237-7903

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kendall Leon Blackwell
Gender	Male
Speciality	Podiatry
Experience	38 Years
Location	1704 Glendale Dr Sw, Wilson, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kendall Leon Blackwell attended and graduated from Kent State University College Of Podiatric Medicine in 1987

NPI Data:

NPI Number: 1366483638
Provider Enumeration Date: 06/09/2006
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9133318553
Enrollment ID: I20110114000872

Medical Identifiers

Medical identifiers for Dr Kendall Leon Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366483638	NPI	-	NPPES
79-0804G	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	238 (North Carolina)	Secondary
213ES0131X	Podiatrist - Foot Surgery	238 (North Carolina)	Secondary
213EP1101X	Podiatrist - Primary Podiatric Medicine	238 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilson Medical Center	Wilson, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Instride Foot And Ankle Specialists, Pllc	7012168271	47

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. Dr Kendall Leon Blackwell allows following entities to bill medicare on his behalf.

Provider Name	Instride Foot And Ankle Specialists, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457601601 PECOS PAC ID: 7012168271 Enrollment ID: O20121115000501

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. Dr Kendall Leon 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
Dr Kendall Leon Blackwell, DPM 1704 Glendale Dr Sw, Wilson, NC 27893-4678 Ph: (252) 237-0138	Dr Kendall Leon Blackwell, DPM 1704 Glendale Dr Sw, Suite A, Wilson, NC 27893-4678 Ph: (252) 237-0138

Reviews and Comments

Podiatrist in Wilson, NC

Instride Foot And Ankle Specialists, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1704 Glendale Dr Sw Ste A, Wilson, NC 27893 Phone: 252-237-0138 Fax: 252-237-7903
Wilson Podiatry Associates, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1704 Glendale Dr Sw, Suite A, Wilson, NC 27893 Phone: 252-237-0138 Fax: 252-237-7903
Foot And Ankle Associates Of Nc, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2130 Forest Hills Rd W Ste C, Wilson, NC 27893 Phone: 252-281-4442 Fax: 252-281-4439
Dr. Terry Claycomb, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2130 Forest Hills Rd W, Wilson, NC 27893 Phone: 252-237-0138 Fax: 252-237-7903

Dr Kendall Leon Blackwell, DPM - Medicare Podiatrist in Wilson, NC