| Robert H Blanton, MD | |
|
1 Medical Park Blvd, 250 West, Bristol, TN 37620-7430 | |
| (423) 844-6620 | |
| (423) 844-6627 |
| Full Name | Robert H Blanton |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1 Medical Park Blvd, Bristol, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104921212 | NPI | - | NPPES |
| F03906748 | Other | TN | CHAMPUS |
| TN0106 | Other | TN | JOHN DEERE NOW UNITED HC |
| 5070152 | Other | TN | AETNA |
| 020034237 | Other | TN | MCRAILROAD/GROUP #CA8128 |
| 022276800 | Other | TN | BLACK LUNG GROUP |
| 3036131 | Other | TN | BCBS OF TENNESSEE |
| 3074381 | Medicaid | TN | |
| 7305940 | Medicaid | VA | |
| 0636398 | Other | TN | UMWA GROUP |
| 241060 | Other | TN | INDIV ANTHEM/GROUP#093410 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 24054 (Tennessee) | Primary |
| Entity Name | Bristol Surgical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811066947 PECOS PAC ID: 7416038377 Enrollment ID: O20080116000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert H Blanton, MD 1 Medical Park Blvd, 250 West, Bristol, TN 37620-7430 Ph: (423) 844-6620 | Robert H Blanton, MD 1 Medical Park Blvd, 250 West, Bristol, TN 37620-7430 Ph: (423) 844-6620 |
Jake Sides, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
Dr. Sidney W Collins Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
Michael E Chupp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 312 Mia Dr, Bristol, TN 37620 Phone: 423-366-6005 | |
Michael D Rowell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 | |
Benjamin S Scharfstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
David Gwaltney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-3919 Fax: 423-975-0141 |