| Dr Richard E Blalock, MD | |
|
1000 S 12th St, Murray, KY 42071-9303 | |
| (270) 759-9200 | |
| (270) 759-9966 |
| Full Name | Dr Richard E Blalock |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 1000 S 12th St, Murray, Kentucky |
| 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 |
|---|---|---|---|
| 1295723328 | NPI | - | NPPES |
| 64203417 | Medicaid | KY | |
| 000000050313 | Other | KY | ANTHEM BC BS |
| 110001757 | Other | KY | RAILROAD MEDICARE |
| 610994960 | Other | KY | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20341 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Murray-calloway County Hospital | Murray, KY | Hospital |
| Henry County Medical Center | Paris, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vmd Primary Providers Central Kentucky | 6709119068 | 28 |
| Entity Name | Vmd Primary Providers Central Kentucky |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831674654 PECOS PAC ID: 6709119068 Enrollment ID: O20190531002182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard E Blalock, MD 1000 S 12th St, Murray, KY 42071-9303 Ph: (270) 759-9200 | Dr Richard E Blalock, MD 1000 S 12th St, Murray, KY 42071-9303 Ph: (270) 759-9200 |
Dr. Melissa Cole Mangold, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 803 Poplar St, Murray, KY 42071 Phone: 270-762-1100 | |
Mr. Monte Gene Finch, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 S 8th St Ste 509e, Murray, KY 42071 Phone: 270-759-4000 Fax: 270-752-2857 | |
Dr. Dan M. Miller, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 312 S 8th St, Murray, KY 42071 Phone: 270-753-2395 Fax: 270-759-4745 | |
Dr. April Nevarez-maggard, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 Poplar St, Murray, KY 42071 Phone: 334-793-5000 | |
Dr. Ghanshyam S Shastri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 S 8th St, Suite 301e, Murray, KY 42071 Phone: 270-762-1539 Fax: 270-752-2858 | |
Dr. Allen Lee Tinsley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 N 12th St, Murray, KY 42071 Phone: 270-415-7055 Fax: 270-415-7056 |