Blair Kaichen Duddy, MD - Medicare Pediatrics in Las Vegas, NV

Blair Kaichen Duddy, MD is a medicare enrolled "Pediatrics" physician in Las Vegas, Nevada. His current practice location is 2704 N Tenaya Way, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 243-8500.

Blair Kaichen Duddy is licensed to practice in Nevada (license number 7316) 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 1063414761.

Contact Information

Blair Kaichen Duddy, MD
2704 N Tenaya Way,
Las Vegas, NV 89128-0424
(702) 243-8500
(702) 869-5347



Physician's Profile

Full NameBlair Kaichen Duddy
GenderMale
SpecialityPediatrics
Location2704 N Tenaya Way, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063414761
  • Provider Enumeration Date: 08/11/2005
  • Last Update Date: 09/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5799758744
  • Enrollment ID: I20040817001132

Medical Identifiers

Medical identifiers for Blair Kaichen Duddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063414761NPI-NPPES
1063414761MedicaidNV
V114364OtherNVSSMA MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 7316 (Nevada)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. Blair Kaichen Duddy allows following entities to bill medicare on his behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102

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Entity NameOptum Medical Group Ii Rhodes P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770556037
PECOS PAC ID: 4981687779
Enrollment ID: O20040611000770

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Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898

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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. Blair Kaichen Duddy 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 AddressPractice Location Address
Blair Kaichen Duddy, MD
Po Box 15645,
Las Vegas, NV 89114-5645

Ph: (702) 579-3298
Blair Kaichen Duddy, MD
2704 N Tenaya Way,
Las Vegas, NV 89128-0424

Ph: (702) 243-8500

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Pediatrics Doctors in Las Vegas, NV

Randi E Lampert, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128
Phone: 702-228-9066    
Sora Song, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109
Phone: 702-457-5437    Fax: 702-464-5801
Dr. Noah Benjamin Kohn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102
Phone: 702-383-2000    Fax: 888-456-2467
David Blank, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144
Phone: 702-260-4525    Fax: 702-869-0133
Vicki Hom, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4570 S. Eastern Ave, Suite #21, Las Vegas, NV 89119
Phone: 702-733-6033    Fax: 702-733-6033
Ms. Elsa H Von Schulenburg, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107
Phone: 702-851-3572    Fax: 702-851-3574
Ruben J Acherman, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169
Phone: 702-732-1290    Fax: 702-732-1385

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