| Dr William A Blackman, MD | |
|
1901 Thomson Dr, Lynchburg, VA 24501-1008 | |
| (434) 947-3908 | |
| (434) 947-5948 |
| Full Name | Dr William A Blackman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1901 Thomson Dr, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528067105 | NPI | - | NPPES |
| 006053637 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101036652 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William A Blackman, MD 1901 Thomson Dr, Lynchburg, VA 24501-1008 Ph: (434) 947-3908 | Dr William A Blackman, MD 1901 Thomson Dr, Lynchburg, VA 24501-1008 Ph: (434) 947-3908 |
Varsha Reddy Pothula Venkata, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 103 Clifton St, Lynchburg, VA 24501 Phone: 434-455-7100 Fax: 434-947-5909 | |
Dr. James D Cure, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Thomson Dr, Lynchburg, VA 24501 Phone: 434-947-3908 Fax: 434-947-5948 | |
Sally- Ann Tracy Mcintosh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Dr. John Newton Clore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Nationwide Dr, Internal Medicine, Lynchburg, VA 24502 Phone: 434-200-3908 | |
Dr. Evan D. Ownby, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-2712 Fax: 434-200-2851 | |
Sandra Omozehio Iwuala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Joseph B Khoury, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2011 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-947-3963 Fax: 434-947-5935 |