Blair Medical Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Aviston, Illinois. The current practice location for Blair Medical Llc is 13745 Mary Ln, Aviston, Illinois. For appointments, you can reach them via phone at
(618) 567-9821. The mailing address for Blair Medical Llc is Po Box 306, Columbia, Illinois and phone number is (618) 567-9821.
Blair Medical Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1427651587. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 567-9821.
Primary Care Clinic Profile
| Full Name | Blair Medical Llc |
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| Speciality | Nurse Practitioner |
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| Location | 13745 Mary Ln, Aviston, Illinois |
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| Authorized Official Name and Position | Blair E Bone (OWNER, AUTHORIZED) |
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| Authorized Official Contact | 6185679821 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Blair Medical Llc
Po Box 306
Columbia
IL 62236-0306
Ph: (618) 567-9821 | Blair Medical Llc
13745 Mary Ln
Aviston
IL 62216-4732
Ph: (618) 567-9821 |
NPI Details:
| NPI Number | 1427651587 |
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| Provider Enumeration Date | 11/19/2020 |
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| Last Update Date | 09/17/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4789095399 |
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| Medicare Enrollment ID | O20201202001638 |
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Medical Identifiers
Medical identifiers for Blair Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427651587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Blair Medical Llc acts as a billing entity for following providers:
| Provider Name | Blair Bone |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1518402064
PECOS PAC ID: 6507140837
Enrollment ID: I20170418002680 |
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