Elizabeth A Blachly, M.D.
Individual provider Active NPI Family Medicine Physician · New Palestine, IN
NPI 1740282201 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1740282201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01046880A (IN)
- Practice address
- 7375 W US Highway 52
New Palestine, IN 46163-8950 - Phone
- (317) 861-4171
- Fax
- (317) 861-5325
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hancock Physician Network LLC
Practice addresses (Care Compare)
801 N State
Greenfield, IN 46140-1270
801 N State St
Greenfield, IN 46140-1270
801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789
Hospital & facility affiliations
- Suburban Home Health LLC
- Hancock Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100811000185 | IN | Practitioner - Family Practice | 5496889578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Physician Network, LLC | Family Medicine | Current |
Accepting new patients |
| Hancock Regional Hospital | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257
801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255
7375 W US Highway 52
New Palestine, IN 46163
Phone (888) 877-7222
4055 Roy Wilson Way
Ste 110
New Palestine, IN 46163
Phone (317) 477-9355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046880A | IN | Yes |
Addresses
Primary practice location
7375 W US Highway 52
New Palestine, IN 46163-8950
Mailing address
PO Box 129
Greenfield, IN 46140-0129
Phone (317) 468-6270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000112800 | Other | IN | ANTHEM PIN # |
| 200311740 | Other | IN | MEDICAID GROUP PIN # |
| 5259508 | Other | IN | AETNA PIN # |
| 80156759 | Other | IN | MEDICARE RAILROAD # |
| 200156140 | Medicaid | IN |
Other providers in New Palestine, IN
- Annelise Aven
- Kristin S Bagley
- Balanced Life Counseling Services, LLC
- Jacklin Diane Barnhouse
- Best in Sight Family Eye Care P C
- Erica Black
- Yakisha Blanc
- Jarrett Bowen
- Rachel Brewster
- Shaniece Brooks
All providers in New Palestine, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.