Blakely Nelson Thornton, - Medicare Otolaryngology in Shreveport, LA

Blakely Nelson Thornton, is a medicare enrolled "Otolaryngology" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2009 and has 15 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ear Nose And Throat Center A Medical Corporation, Christus Health Central Louisiana and his current practice location is 2121 Line Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 226-9441.

Blakely Nelson Thornton is licensed to practice in Louisiana (license number 207985) 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 1225271513.

Contact Information

Blakely Nelson Thornton,
2121 Line Ave,
Shreveport, LA 71104-2126
(318) 226-9441
(318) 425-3236



Physician's Profile

Full NameBlakely Nelson Thornton
GenderMale
SpecialityOtolaryngology
Experience15 Years
Location2121 Line Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blakely Nelson Thornton attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2009
  NPI Data:
  • NPI Number: 1225271513
  • Provider Enumeration Date: 04/15/2009
  • Last Update Date: 06/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981917028
  • Enrollment ID: I20150720001034

Medical Identifiers

Medical identifiers for Blakely Nelson Thornton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225271513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 207985 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Health Shreveport - BossierShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear Nose And Throat Center A Medical Corporation44866295408
Christus Health Central Louisiana468857095534

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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. Blakely Nelson Thornton allows following entities to bill medicare on his behalf.
Entity NameEar Nose & Throat Center A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649350968
PECOS PAC ID: 4486629540
Enrollment ID: O20040901000054

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Entity NameShreveport Surgery Center Ptrshp
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1598804486
PECOS PAC ID: 9830141597
Enrollment ID: O20100305000021

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Entity NameChristus Health Central Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417494758
PECOS PAC ID: 4688570955
Enrollment ID: O20170515000438

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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. Blakely Nelson Thornton 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
Blakely Nelson Thornton,
2121 Line Ave,
Shreveport, LA 71104-2126

Ph: (318) 226-9441
Blakely Nelson Thornton,
2121 Line Ave,
Shreveport, LA 71104-2126

Ph: (318) 226-9441

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Otolaryngology Doctors in Shreveport, LA

William Harrel Watkins, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Line Ave, Shreveport, LA 71104
Phone: 318-226-9441    Fax: 318-425-3236
Brett A. Koder, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 7847 Youree Dr, Shreveport, LA 71105
Phone: 318-212-3960    Fax: 318-212-3907
Michael T Yim, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-6262    
Dr. Clifford H Rice Jr., MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105
Phone: 318-798-4464    Fax: 318-798-4529
Lindsey Alexander Pennington, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103
Phone: 318-813-2690    Fax: 318-813-2692
Judd H Chidlow, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105
Phone: 318-798-4569    Fax: 318-798-4423
Ameya A. Asarkar, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kings Highway, Shreveport, LA 71130
Phone: 318-813-2690    Fax: 318-813-2692

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