Dr Derrick Lewis Blackwell, DO - Medicare Family Practice in Charlotte, NC

Dr Derrick Lewis Blackwell, DO is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-7910.

Dr Derrick Lewis Blackwell is licensed to practice in North Carolina (license number 2014-00430) 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 1134348485.

Contact Information

Dr Derrick Lewis Blackwell, DO
4500 Cameron Valley Pkwy Ste 100,
Charlotte, NC 28211-3542
(704) 384-7910
(704) 384-7914



Physician's Profile

Full NameDr Derrick Lewis Blackwell
GenderMale
SpecialityFamily Practice
Experience20 Years
Location4500 Cameron Valley Pkwy Ste 100, Charlotte, North Carolina
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:
  • Dr Derrick Lewis Blackwell attended and graduated from Ohio University, College Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1134348485
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133218670
  • Enrollment ID: I20140723002059

Medical Identifiers

Medical identifiers for Dr Derrick Lewis Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134348485NPI-NPPES
011221MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101016178 (Michigan)Secondary
207Q00000XFamily Medicine 2014-00430 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Presbyterian Medical CenterCharlotte, NCHospital
Novant Health Matthews Medical CenterMatthews, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996

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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. Dr Derrick Lewis Blackwell allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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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. Dr Derrick Lewis 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 AddressPractice Location Address
Dr Derrick Lewis Blackwell, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-8640
Dr Derrick Lewis Blackwell, DO
4500 Cameron Valley Pkwy Ste 100,
Charlotte, NC 28211-3542

Ph: (704) 384-7910

News Archive

Nanoscale mechanism to externally control the function and action of a protein

"We can switch a protein on and off, and while we have controlled a specific protein, we believe our approach will work with virtually any protein," said Giovanni Zocchi, assistant professor of physics at UCLA, member of the California NanoSystems Institute and leader of the research effort. "This research has the potential to start a new approach to protein engineering."

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Alcon announced today that it has entered into a definitive agreement to acquire Optonol, Ltd., a medical device company that develops, manufactures and markets novel miniature surgical implants used to lower intraocular pressure (IOP) in patients with glaucoma.

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› Verified 1 days ago


Family Medicine Doctors in Charlotte, NC

Lillian M. Teigland, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210
Phone: 704-384-0588    Fax: 704-384-0580
Felice A James, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 251 Eastway Dr, Charlotte, NC 28213
Phone: 704-446-9991    
Heather M. Burney, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208
Phone: 704-446-9987    
Dr. Jerome Howard, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6111 Rumple Rd, Charlotte, NC 28262
Phone: 704-596-5067    Fax: 704-599-9458
Vishalakshi Kalyana Sundaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207
Phone: 704-304-7000    
Thamrah Rhoxana Wright, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207
Phone: 704-384-1354    
Dr. Carlos B Jorge, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 309 S Sharon Amity Rd Ste 206, Charlotte, NC 28211
Phone: 704-360-5018    Fax: 980-273-1102

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