| Kahni C Blackmon, PHD | |
|
Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 | |
| (781) 485-6180 | |
| Not Available |
| Full Name | Kahni C Blackmon |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 17 Years |
| Location | Mgh Revere Healthcare Center, Revere, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902177884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PSY-9439 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The General Hospital Corporation | 6507803806 | 1143 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Kahni C Blackmon, PHD Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Ph: (781) 485-6180 | Kahni C Blackmon, PHD Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Ph: (781) 485-6180 |
Leonard R Friedman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 85 Broadway, Revere, MA 02151 Phone: 781-284-1780 | |
Dr. Dominique Vo, MD MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ocean Ave, Mgh Revere Healthcare Center, Revere, MA 02151 Phone: 781-485-6100 Fax: 781-485-6119 | |
Batool Kazim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Mgh Healthcare Center, Revere, MA 02151 Phone: 781-485-6109 | |
Dr. Emine Nalan Ward, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere Health Care Center, Revere, MA 02151 Phone: 781-485-6118 Fax: 781-485-6119 | |
Brigitta Lamb, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6100 | |
Frank Copeli, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 385 Broadway Ste 203, Revere, MA 02151 Phone: 443-353-9263 | |
Dr. Antonio Melendez Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Mgh-revere Healthcare Center, Revere, MA 02151 Phone: 781-485-6100 |