| Drew Steven Blackstock, MD | |
|
6630 Summer Knoll Cir Ste 101, Bartlett, TN 38134 | |
| (901) 746-9438 | |
| Not Available |
| Full Name | Drew Steven Blackstock |
|---|---|
| Gender | Male |
| Speciality | Addiction Medicine |
| Experience | 12 Years |
| Location | 6630 Summer Knoll Cir Ste 101, Bartlett, Tennessee |
| 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 |
|---|---|---|---|
| 1841532819 | NPI | - | NPPES |
| 02237563 | Medicaid | MS | |
| 1841532819 | Medicaid | MO | |
| Q008983 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 51931 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Steven Blackstock, MD 6630 Summer Knoll Cir Ste 101, Bartlett, TN 38134-2875 Ph: (901) 746-9438 | Drew Steven Blackstock, MD 6630 Summer Knoll Cir Ste 101, Bartlett, TN 38134 Ph: (901) 746-9438 |
Cecilia D Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6637 Summer Knoll Cir, Suite 101, Bartlett, TN 38134 Phone: 901-372-5260 Fax: 901-386-8726 | |
Michele E Neal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3091 Kirby Whitten Pkwy, Bartlett, TN 38134 Phone: 901-752-6963 Fax: 901-759-4704 | |
Charolette Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6644 Summer Knoll Cir, Bartlett, TN 38134 Phone: 901-266-4112 Fax: 901-266-4113 | |
Mrs. Gottumukkala Suneela, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2996 Kate Bond Rd, Suite 203, Bartlett, TN 38133 Phone: 901-382-2044 Fax: 901-382-2085 | |
Tri Minh Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6570 Stage Rd Ste 245, Bartlett, TN 38134 Phone: 901-746-9888 Fax: 901-746-9854 | |
Dr. Stephen Desouza, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7424 Us Highway 64 Ste 111, Bartlett, TN 38133 Phone: 901-372-3573 | |
Dr. Samya Varuschka Cruz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7665 W Hwy 70, Suite 101, Bartlett, TN 38133 Phone: 901-207-6535 Fax: 901-417-7894 |