| Christopher Thomas Blanford, MD | |
|
535 Park Ave E, Princeton, IL 61356-2537 | |
| (815) 875-4531 | |
| (815) 876-2118 |
| Full Name | Christopher Thomas Blanford |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 535 Park Ave E, Princeton, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306286950 | NPI | - | NPPES |
| 036139239 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036139239 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| In-home Care Connection Home Health Services | Moline, IL | Home health agency |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Manor Court Of Princeton | Princeton, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Healthcare System | 4284541806 | 77 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Thomas Blanford, MD 530 Park Ave E, Medical Staff Services, Princeton, IL 61356-3903 Ph: (815) 876-2293 | Christopher Thomas Blanford, MD 535 Park Ave E, Princeton, IL 61356-2537 Ph: (815) 875-4531 |
Manuel R Ascano Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Robert E Mestan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Miss Robin L Rose, APRN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 |