| Kevin Blackmon, MD | |
|
3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | |
| (360) 493-6400 | |
| Not Available |
| Full Name | Kevin Blackmon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 3624 Ensign Rd Ne, Olympia, Washington |
| 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 |
|---|---|---|---|
| 1538121892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36968 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rainier Anesthesia Associates Pc | 4284523499 | 64 |
| Entity Name | Rainier Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487637013 PECOS PAC ID: 4284523499 Enrollment ID: O20040315000756 |
| Entity Name | Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Blackmon, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: () - | Kevin Blackmon, MD 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 Ph: (360) 493-6400 |
Dr. Kirsten Erica Redborg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3900 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 360-706-6212 | |
Bryan D Wales, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506 Phone: 360-493-6400 | |
Calvin Takchun Wong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 425-407-1500 | |
Dr. Douglas Wayne Taylor, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502 Phone: 360-786-8990 Fax: 360-786-9010 | |
Nathan Swiss, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Charles Richard Harding, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506 Phone: 360-493-6400 | |
Steven T. Hunnell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Olympia, WA 98502 Phone: 360-754-5858 |