BLEN D BLACKWELL PA-C
NPI 1811217409
Physician Assistant in Hattiesburg, MS
About Blen D Blackwell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLEN D BLACKWELL PA-C (NPI 1811217409) is an individual physician assistant in Hattiesburg, Mississippi, licensed in Mississippi (PA00132) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Blen D Blackwell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Central Reg Med Ctr
Acute Care Hospitals · Laurel, MSForrest General Hospital
Acute Care Hospitals · Hattiesburg, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blen Blackwell's NPI number?
The NPI number for Blen Blackwell is 1811217409. It was assigned to this individual provider in the NPPES registry on June 4, 2010.
Where is Blen Blackwell located?
Blen Blackwell practices at 3688 Veterans Memorial Dr. Suite 200, Hattiesburg, MS 39401. The listed phone number is (601) 554-7400.
What is Blen Blackwell's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Blen Blackwell enrolled in Medicare?
Yes. Blen Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Blen Blackwell accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Blen Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Blen Blackwell affiliated with any hospitals?
According to CMS data, Blen Blackwell is affiliated with South Central Reg Med Ctr and Forrest General Hospital.
When was this NPI record last updated?
The NPPES record for Blen Blackwell was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blen D Blackwell, PA-C · NPI 1811217409
Physician Assistant physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1811217409 (Entity type: Individual)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA00132 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3688 VETERANS MEMORIAL DR., SUITE 200, Hattiesburg, MS 39401
- **Phone:** (601) 554-7400 · **Fax:** (601) 554-7499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1811217409) · Data from the CMS NPPES public registry.