| Alice B Blount, MD | |
|
20102 Cougar Trl, Christoval, TX 76935-1605 | |
| (574) 339-5120 | |
| Not Available |
| Full Name | Alice B Blount |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 20102 Cougar Trl, Christoval, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912120882 | NPI | - | NPPES |
| 191113301 | Medicaid | TX | |
| 8B7582 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| P00471769 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M6053 (Texas) | Primary |
| 207P00000X | Emergency Medicine | M6053 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 11012388 (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swisher Memorial Hospital | Tulia, TX | Hospital |
| Shamrock General Hospital | Shamrock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Entity Name | Muenster Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972556009 PECOS PAC ID: 6608785993 Enrollment ID: O20031106000571 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concho County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134166226 PECOS PAC ID: 3971505298 Enrollment ID: O20070815000340 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice B Blount, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Alice B Blount, MD 20102 Cougar Trl, Christoval, TX 76935-1605 Ph: (574) 339-5120 |