| Dr John R Blackwell, MD | |
|
1203 24th Ave, Meridian, MS 39301-3926 | |
| (601) 693-5862 | |
| (601) 693-9314 |
| Full Name | Dr John R Blackwell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 1203 24th Ave, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1831170208 | NPI | - | NPPES |
| 09257847 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18848 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Administrators Of The Tulane Educational Fund | 0446163760 | 370 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Radiology & Interventional Associates Of Metairie Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003812215 PECOS PAC ID: 2860422557 Enrollment ID: O20050812000380 |
| Entity Name | Acadiana Radiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649422726 PECOS PAC ID: 1355403114 Enrollment ID: O20090105000094 |
| Entity Name | Intercity Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20200124001071 |
| Entity Name | South Florida Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20200218001030 |
| Entity Name | Radiology Consultants Of Lynchburg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20200327003193 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200409000663 |
| Entity Name | Tennessee Valley Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200420002679 |
| Entity Name | Simi Radiology And Imaging Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132275 PECOS PAC ID: 6507845369 Enrollment ID: O20200506001271 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200511001897 |
| Entity Name | Jason L Hwang Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20200512002096 |
| Entity Name | Columbus Radiology Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20200520002945 |
| Entity Name | X-ray Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20200717002482 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20200917000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Blackwell, MD Po Box 5653, Meridian, MS 39302-5653 Ph: (601) 693-5862 | Dr John R Blackwell, MD 1203 24th Ave, Meridian, MS 39301-3926 Ph: (601) 693-5862 |
Dr. Ralph E. Williams, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Rush Medical Group Inc., Meridian, MS 39301 Phone: 601-703-9544 Fax: 601-703-9936 | |
Dr. Mary Ann Cowart, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 | |
Dr. Charles Adrian Ray Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6701 | |
Sandra H. Pupa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1730a 14th St, Meridian, MS 39301 Phone: 601-703-4395 Fax: 601-703-4394 | |
Dr. Michael Stacy Thaggard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 | |
Dr. Amy Ball Coleman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-485-1015 Fax: 601-693-9314 | |
Dr. William D. Armstrong, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 |