| Dr David Eric Blackwell, MD | |
|
3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 | |
| (806) 743-2340 | |
| (806) 743-1775 |
| Full Name | Dr David Eric Blackwell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 53 Years |
| Location | 3601 4th St, Lubbock, Texas |
| 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 |
|---|---|---|---|
| 1245220110 | NPI | - | NPPES |
| 134414506 | Medicaid | TX | |
| 44304 | Medicaid | NM | |
| A052 | Other | NM | TRIWEST |
| X5317 | Medicaid | NM | |
| 108700100 | Other | TX | FRISTCARE COMMERCIAL |
| 134414501 | Medicaid | TX | |
| 80807Z | Other | TX | HMO BLUE |
| 108700101 | Medicaid | TX | |
| 44304 | Other | NM | PRESBYTERIAN COMMERCIAL |
| 80R001 | Other | TX | BC/BS |
| 100034690A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | E6996 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | 4385549674 | 340 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Eric Blackwell, MD 3601 4th St # Ms 8340, Lubbock, TX 79430-5865 Ph: (806) 761-0770 | Dr David Eric Blackwell, MD 3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 Ph: (806) 743-2340 |
Kulia Kini Kakarala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8445 | |
Gregory Scott Poe, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
Thomas Richard Windisch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 21st St, Lubbock, TX 79410 Phone: 806-791-0399 Fax: 806-791-0373 | |
Brian James Bruening, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3525 19th St, Lubbock, TX 79410 Phone: 806-687-8346 Fax: 888-856-2848 | |
Sinan Ali Qurban Ali Bana, MD Radiology Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 214-820-2361 | |
Scott Cranston Porter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
David Kirk Jenkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 22nd Pl, Lubbock, TX 79410 Phone: 806-725-8000 |