Dr Fred Blackledge, MD in Jackson, MS

Dr Fred Blackledge, MD is a Plastic Surgery physician based in Jackson, Mississippi. Dr Fred Blackledge is licensed to practice in Mississippi (license number 16006) and his current practice location is 764 Lakeland Dr, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 981-3033.

NPI number for Dr Fred Blackledge is 1003890179 and his current mailing address is Po Box 24023, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003890179.

Contact Information

	Dr Fred Blackledge, MD
	764 Lakeland Dr, Jackson, MS 39216-4617
	(601) 981-3033
	(601) 982-8132

Map and Direction

Physician's Profile

Full Name	Dr Fred Blackledge
Gender	Male
Speciality	Plastic Surgery
Location	764 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003890179
Provider Enumeration Date: 12/02/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Fred Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003890179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	16006 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fred Blackledge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Fred Blackledge, MD Po Box 24023, Jackson, MS 39225-4023 Ph: (601) 366-1400	Dr Fred Blackledge, MD 764 Lakeland Dr, Jackson, MS 39216-4617 Ph: (601) 981-3033

Reviews and Comments

Plastic Surgery Doctors in Jackson, MS

Mrs. Marie Yonko, RN, BSN, CNOR, RNFA Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Div. Of Plastic Surgery, Jackson, MS 39216 Phone: 601-984-5180 Fax: 601-984-5183
Dr. Marc Edward Walker, M.D., M.B.A. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Michael Thomas Friel, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Division Of Plastic Surgery, Jackson, MS 39216 Phone: 601-984-5180 Fax: 601-984-5183
Benjamin C. Mcintyre, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Surgery, Jackson, MS 39216 Phone: 601-984-5452 Fax: 601-815-3322
Marcus D Walkinshaw, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5180
Phillip Blevins, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5180 Fax: 601-984-5183

Dr Fred Blackledge, MD - Plastic Surgery in Jackson, MS