| Dr Mark Edward Blackwood, MD | |
|
801 First St, Cleveland, MS 38732 | |
| (662) 843-0880 | |
| (662) 843-0889 |
| Full Name | Dr Mark Edward Blackwood |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 35 Years |
| Location | 801 First St, Cleveland, 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 |
|---|---|---|---|
| 1558456764 | NPI | - | NPPES |
| 00114916 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 13157 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| North Sunflower Medical Center Cah | Ruleville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Physician Services Inc | 5193912889 | 13 |
| North Sunflower Medical Center | 7618932294 | 40 |
| Family Medical Clinic Of Cleveland, Llc | 9335306497 | 6 |
| Entity Name | North Sunflower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
| Entity Name | Delta Obstetrics & Gynecology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083827315 PECOS PAC ID: 6800957952 Enrollment ID: O20081208000154 |
| Entity Name | Magnolia Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827549 PECOS PAC ID: 5193912889 Enrollment ID: O20101207000799 |
| Entity Name | Obhg Mississippi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
| Entity Name | Family Medical Clinic Of Cleveland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544376 PECOS PAC ID: 9335306497 Enrollment ID: O20120201000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Blackwood, MD 801 1st St, Cleveland, MS 38732-2398 Ph: (662) 843-0880 | Dr Mark Edward Blackwood, MD 801 First St, Cleveland, MS 38732 Ph: (662) 843-0880 |
Dr. Bradley Rex Baugh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 First St, Cleveland, MS 38732 Phone: 662-843-0880 Fax: 662-843-0086 |