| Gregory E Blackman, MD | |
|
271 Carew St, Department Of Radiology, Mercy Medical Center, Springfield, MA 01104-2377 | |
| (413) 748-9200 | |
| Not Available |
| Full Name | Gregory E Blackman |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 42 Years |
| Location | 271 Carew St, Springfield, Massachusetts |
| 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 |
|---|---|---|---|
| 1811941032 | NPI | - | NPPES |
| 0107867 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 76232 (Massachusetts) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 76232 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooley Dickinson Hospital Inc,the | Northampton, MA | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Massachusetts General Hospital | Boston, MA | Hospital |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Community Physicians Inc | 1759273436 | 363 |
| Entity Name | Mass General Brigham Medical Group Western Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
| Entity Name | Providence Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609978170 PECOS PAC ID: 1052300787 Enrollment ID: O20040508000173 |
| Entity Name | Cooley Dickinson Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477596310 PECOS PAC ID: 8123090560 Enrollment ID: O20040806001098 |
| Entity Name | Mass General Brigham Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548638265 PECOS PAC ID: 1759273436 Enrollment ID: O20151215000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory E Blackman, MD 756 Longmeadow St, Longmeadow, MA 01106-2245 Ph: (413) 565-2164 | Gregory E Blackman, MD 271 Carew St, Department Of Radiology, Mercy Medical Center, Springfield, MA 01104-2377 Ph: (413) 748-9200 |
Laurie E Gianturco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 Fax: 413-827-7407 | |
Linda Esther Bornstein, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3350 Main St, Springfield, MA 01107 Phone: 413-794-9175 Fax: 413-794-5153 | |
Christopher Badalucco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-827-7400 | |
Christopher C Moore, MD, PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 | |
Dr. Thomas Joseph Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 | |
Dr. Jason L. Port, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St, Suite 101, Springfield, MA 01107 Phone: 413-781-9000 Fax: 413-781-7988 | |
Michael E. Swirsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 |