Blen D Blackwell, PA-C - Medicare Physician Assistant in Hattiesburg, MS

Blen D Blackwell, PA-C is a medicare enrolled "Physician Assistant" in Hattiesburg, Mississippi. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fgh Trauma Surgery Clinic and his current practice location is 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 554-7400.

Blen D Blackwell is licensed to practice in Mississippi (license number PA00132) 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 1811217409.

Contact Information

Blen D Blackwell, PA-C
3688 Veterans Memorial Dr., Suite 200,
Hattiesburg, MS 39401
(601) 554-7400
(601) 554-7499



Provider's Profile

Full NameBlen D Blackwell
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location3688 Veterans Memorial Dr., Hattiesburg, Mississippi
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:
  • Blen D Blackwell graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1811217409
  • Provider Enumeration Date: 06/04/2010
  • Last Update Date: 08/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6103958475
  • Enrollment ID: I20100722000117

Medical Identifiers

Medical identifiers for Blen D Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811217409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00132 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fgh Trauma Surgery Clinic751791633112

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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. Blen D 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
Blen D Blackwell, PA-C
3688 Veterans Memorial Dr., Suite 200,
Hattiesburg, MS 39401

Ph: (601) 554-7400
Blen D Blackwell, PA-C
3688 Veterans Memorial Dr., Suite 200,
Hattiesburg, MS 39401

Ph: (601) 554-7400

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Ludwig Cancer Research and Agenus Inc. today announced the selection of three monoclonal antibody checkpoint modulators (CPMs) that Agenus is advancing into preclinical development.

Researchers have documented a novel form of resistance in leukemia cells to an anti-cancer drug

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New insights into locally advanced breast cancer

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Physician Assistant Nurses in Hattiesburg, MS

Lauren Marie Worley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401
Phone: 601-288-7000    
Stacey Joyner, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 111 Comanche Dr, Hattiesburg, MS 39402
Phone: 601-604-2858    
Riley Phillips, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3688 Veterans Memorial Dr, Hattiesburg, MS 39401
Phone: 601-554-7400    Fax: 601-554-7499
Clifton H Davis, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401
Phone: 601-554-7400    Fax: 601-554-7488
Mr. Jimmie G Moore Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401
Phone: 601-554-7400    Fax: 601-554-7488
Micah Childs, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3688 Veteran Memorial Drive, Hattiesburg, MS 39402
Phone: 601-554-7400    
Marshall Bynum, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401
Phone: 601-554-7400    Fax: 601-554-7499

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