Kristine A Blackham, MD - Radiology in Cleveland, OH

Kristine A Blackham, MD is a Radiology - Neuroradiology physician based in Cleveland, Ohio. Kristine A Blackham is licensed to practice in Ohio (license number 35084181) and her current practice location is 11100 Euclid Ave, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at (216) 844-1700.

NPI number for Kristine A Blackham is 1487695219 and her current mailing address is 24701 Euclid Ave, 3rd Floor, Euclid, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487695219.

Contact Information

Kristine A Blackham, MD
11100 Euclid Ave,
Cleveland, OH 44106-1736
(216) 844-1700
(216) 286-6341

Map and Direction




Physician's Profile

Full NameKristine A Blackham
GenderFemale
SpecialityRadiology - Neuroradiology
Location11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487695219
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 08/27/2010

Medical Identifiers

Medical identifiers for Kristine A Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487695219NPI-NPPES
1023171400001MedicaidPA
732926OtherOHBUCKEYE
2493707MedicaidOH
000000503569OtherOHANTHEM
0304914OtherOHBCMH
751556OtherOHAETNA
P00358779OtherOHRAILROAD MEDICARE
000000206509OtherOHUNISON
1487695219OtherMIMI MEDICAID
363360OtherOHWELLCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 35084181 (Ohio)Primary
2085B0100XRadiology - Body Imaging 35084181 (Ohio)Secondary
2085D0003XRadiology - Diagnostic Neuroimaging 35084181 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 35084181 (Ohio)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 35084181 (Ohio)Secondary
2085H0002XRadiology - Hospice And Palliative Medicine 35084181 (Ohio)Secondary
2085N0904XRadiology - Nuclear Radiology 35084181 (Ohio)Secondary
2085P0229XRadiology - Pediatric Radiology 35084181 (Ohio)Secondary
2085R0001XRadiology - Radiation Oncology 35084181 (Ohio)Secondary
2085R0203XRadiology - Therapeutic Radiology 35084181 (Ohio)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 35084181 (Ohio)Secondary
207U00000XNuclear Medicine 35084181 (Ohio)Secondary
207UN0903XNuclear Medicine - In Vivo & In Vitro Nuclear Medicine 35084181 (Ohio)Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology 35084181 (Ohio)Secondary
207UN0902XNuclear Medicine - Nuclear Imaging & Therapy 35084181 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristine A Blackham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristine A Blackham, MD
24701 Euclid Ave, 3rd Floor,
Euclid, OH 44117-1714

Ph: () -
Kristine A Blackham, MD
11100 Euclid Ave,
Cleveland, OH 44106-1736

Ph: (216) 844-1700

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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