| Dr David J Blazer, MD | |
|
113 Highway 70 E, Dickson, TN 37055-2080 | |
| (615) 441-4450 | |
| (615) 446-1357 |
| Full Name | Dr David J Blazer |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 46 Years |
| Location | 113 Highway 70 E, Dickson, Tennessee |
| 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 |
|---|---|---|---|
| 1093718272 | NPI | - | NPPES |
| 3158418 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 060061304 | Other | RAILROAD MEDICARE PIN | |
| 3086151 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD26023 (Tennessee) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD26023 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Horizon Medical Center | Dickson, TN | Hospital |
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dickson Medical Associates, Pc | 3971408774 | 55 |
| Entity Name | Dickson Medical Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568464873 PECOS PAC ID: 3971408774 Enrollment ID: O20031204000828 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Blazer, MD 127 Crestview Park Dr, Dickson, TN 37055-2855 Ph: (615) 446-5121 | Dr David J Blazer, MD 113 Highway 70 E, Dickson, TN 37055-2080 Ph: (615) 441-4450 |
Luma Kharabsheh, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 127 Crestview Park Dr, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-446-1357 |
Winifred Cecelia Lassiter, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 301 W End Ave, Dickson, TN 37055 Phone: 615-446-2839 |
Naimisha Marneni, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 103 Natchez Park Dr Ste 103, Dickson, TN 37055 Phone: 615-740-7025 |
Mohammad A Alsoub, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Highway 70 E Ste 102, Dickson, TN 37055 Phone: 615-375-1531 Fax: 615-375-1526 |
Dr. David L Ross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 127 Crestview Park Dr, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-441-4507 |
Muinat Atinuke Taiwo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Tristar Horizon Medical Center, Dickson, TN 37055 Phone: 615-446-0446 |
Michael D Richardson, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1904 Highway 46 S Ste 3, Dickson, TN 37055 Phone: 615-441-6000 |