Dr Spencer L Blackman, MD - Medicare Family Practice in Boston, MA

Dr Spencer L Blackman, MD is a medicare enrolled "Family Medicine" physician in Boston, Massachusetts. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Of Vermont Medical Center Inc, One Medstar Primary Care Llc and his current practice location is 53 State St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 903-5000.

Dr Spencer L Blackman is licensed to practice in Massachusetts (license number 254843) 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 1205914884.

Contact Information

Dr Spencer L Blackman, MD
53 State St,
Boston, MA 02109-2820
(617) 903-5000
Not Available



Physician's Profile

Full NameDr Spencer L Blackman
GenderMale
SpecialityFamily Practice
Experience21 Years
Location53 State St, Boston, Massachusetts
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 Spencer L Blackman attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1205914884
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 09/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567483282
  • Enrollment ID: I20151203002100

Medical Identifiers

Medical identifiers for Dr Spencer L Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205914884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 042.0013274 (Vermont)Secondary
207Q00000XFamily Medicine 254843 (Massachusetts)Primary
207Q00000XFamily Medicine A88542 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Univ. Of Vermont - Fletcher Allen Health CareBurlington, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Vermont Medical Center Inc3779491071994
One Medstar Primary Care Llc0749607307100

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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 Spencer L Blackman allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047

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Entity NameChamplain Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013273697
PECOS PAC ID: 4981868247
Enrollment ID: O20120618000283

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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 Spencer L Blackman 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 Spencer L Blackman, MD
1 Embarcadero Ctr Ste 1900,
San Francisco, CA 94111-3723

Ph: (415) 658-6791
Dr Spencer L Blackman, MD
53 State St,
Boston, MA 02109-2820

Ph: (617) 903-5000

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Family Medicine Doctors in Boston, MA

Lidya H Wlasiuk, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118
Phone: 617-414-2080    Fax: 617-414-2090
Brian R Penti, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118
Phone: 617-414-2080    Fax: 617-414-2090
Alysia L Green, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 915 Commonwealth Ave Rear, Boston, MA 02215
Phone: 617-358-3400    Fax: 617-358-3710
Shahnaz Rahman,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 820 Harrison Ave, Boston, MA 02118
Phone: 404-259-4008    
Dr. Amy Min He, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 637 Washington St, Boston, MA 02124
Phone: 617-825-9660    
Katherine A Gergen Barnett, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 Melnea Cass Blvd, Boston, MA 02119
Phone: 617-414-2080    Fax: 617-414-2090
Dr. Xiangxin Chen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 145 South St, Boston, MA 02111
Phone: 617-482-7555    Fax: 617-482-2930

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