| Ann E Blackman, MD | |
|
608 Old Route 66, Saint Robert, MO 65584-3730 | |
| (573) 336-5100 | |
| Not Available |
| Full Name | Ann E Blackman |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 608 Old Route 66, Saint Robert, Missouri |
| 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 |
|---|---|---|---|
| 1588640510 | NPI | - | NPPES |
| P00837677 | Other | MO | RAILROAD MEDICARE |
| PO00168051 | Other | IA | RR MEDICARE |
| 1588640510 | Medicaid | MO | |
| 1242164 | Medicaid | IA | |
| 135570022 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34727 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 2010007130 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann E Blackman, MD 608 Old Route 66, Saint Robert, MO 65584-3730 Ph: (573) 336-5100 | Ann E Blackman, MD 608 Old Route 66, Saint Robert, MO 65584-3730 Ph: (573) 336-5100 |
Dr. Charles S. Harriman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 City Business Route 66, Saint Robert, MO 65584 Phone: 553-336-5100 Fax: 573-336-3118 | |
Grant Paterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 608 Old Route 66, Saint Robert, MO 65584 Phone: 573-336-5100 |