| Joseph Bruce Blackburn, MD | |
|
1075 S Court St, Ste 100, Medina, OH 44256-3836 | |
| (330) 722-6337 | |
| (330) 722-0481 |
| Full Name | Joseph Bruce Blackburn |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1075 S Court St, Medina, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730183138 | NPI | - | NPPES |
| 2152281 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 350-77002-B (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medina Hospital | Medina, OH | Hospital |
| Summa Health System | Akron, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novacare Rehabilitation Of Ohio Inc | 0345159315 | 439 |
| South Court Family Physicians Inc | 4183617863 | 2 |
| Entity Name | South Court Family Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922206291 PECOS PAC ID: 4183617863 Enrollment ID: O20040407000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Bruce Blackburn, MD 1075 S Court St, Ste 100, Medina, OH 44256-3836 Ph: (330) 722-6337 | Joseph Bruce Blackburn, MD 1075 S Court St, Ste 100, Medina, OH 44256-3836 Ph: (330) 722-6337 |
Dr. Glenna S Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Medina Rd, Ste. 310, Medina, OH 44256 Phone: 330-725-8441 Fax: 330-725-8442 | |
Olsi Karoqja, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 784 Medina Rd Ste 107, Medina, OH 44256 Phone: 330-591-9635 | |
Dr. Andrew Chema, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Medina Rd Ste 310, Medina, OH 44256 Phone: 330-725-8441 Fax: 330-725-8442 | |
Jeffrey A Kase, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Suite 4 B, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Julie A Reeves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3637 Medina Rd, Suite 70, Medina, OH 44256 Phone: 330-764-7378 Fax: 330-723-8357 | |
Ola Andreas Thuestad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Washington St, Medina, OH 44256 Phone: 330-725-1000 | |
Dr. Tomas Almonte Madrilejos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 930 E Washington St, Medina, OH 44256 Phone: 330-723-3220 |