| Dr Eric Scott Blackwell, MD | |
|
1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | |
| (269) 226-6933 | |
| (269) 226-6949 |
| Full Name | Dr Eric Scott Blackwell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 1535 Gull Rd, Kalamazoo, Michigan |
| 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 |
|---|---|---|---|
| 1114970373 | NPI | - | NPPES |
| 700G560080 | Other | MI | BCBS GROUP-THREE RIVERS HEALTH |
| 104275172 | Medicaid | MI | |
| EB072041 | Other | MI | BLUE CROSS BLUE SHIELD |
| 104277720 | Medicaid | MI | |
| 4321103-10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301072041 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4301072041 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Emergency Group Pc | 6507277423 | 149 |
| Mclaren Hospital Group | 2365968351 | 366 |
| Mclaren Medical Group | 3971416082 | 240 |
| Entity Name | Clarksville Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Scott Blackwell, MD 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 Ph: (269) 226-6933 | Dr Eric Scott Blackwell, MD 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 Ph: (269) 226-6933 |
Nicole Catherine Carpp, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 |
Dr. Brannon Charles Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008 Phone: 269-343-3900 Fax: 269-343-5640 |
Abigail Munro Bond, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 |
Alex John Vanwoerkom, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4600 |
Dr. Charles Moore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048 Phone: 269-226-6933 Fax: 269-226-6949 |
Dr. Jonathan Ross Dadurian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall, Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 |
Jason Andrew Garner, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 |