| John B Blalock Jr, MD | |
|
541 Sunset Ln Ste 103, Culpeper, VA 22701-3903 | |
| (540) 829-4440 | |
| (540) 825-4026 |
| Full Name | John B Blalock Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 541 Sunset Ln Ste 103, Culpeper, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685352 | NPI | - | NPPES |
| 1063685352 | Medicaid | VA | |
| 000087171 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9169 (Alabama) | Secondary |
| 208600000X | Surgery | 0101263724 (Virginia) | Primary |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Mailing Address | Practice Location Address |
|---|---|
| John B Blalock Jr, MD 2660 10th Ave S, Suite 238, Birmingham, AL 35205-1605 Ph: (205) 933-7301 | John B Blalock Jr, MD 541 Sunset Ln Ste 103, Culpeper, VA 22701-3903 Ph: (540) 829-4440 |
Natasha S Annor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 541 Sunset Ln Ste 103, Culpeper, VA 22701 Phone: 540-829-4440 Fax: 540-825-4026 | |
Dr. Adam Eugene Stright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Sunset Ln, Culpeper, VA 22701 Phone: 540-829-4100 Fax: 434-972-4266 | |
Tiffany A. Stoddard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 541 Sunset Ln Ste 103, Culpeper, VA 22701 Phone: 540-829-4440 Fax: 540-825-4026 | |
Joshua Daniel Washer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 Southridge Pkwy Ste 104, Culpeper, VA 22701 Phone: 703-772-0089 Fax: 540-340-6222 | |
Dr. Leonardo Ramon Espinel Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 541 Sunset Ln Ste 103, Culpeper, VA 22701 Phone: 540-829-4440 Fax: 540-825-4026 |