| Robert Van Blakeburn, MD | |
|
800 Frisco Ave, Clinton, OK 73601-3306 | |
| (580) 323-2700 | |
| (580) 323-2276 |
| Full Name | Robert Van Blakeburn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 800 Frisco Ave, Clinton, Oklahoma |
| 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 |
|---|---|---|---|
| 1164419560 | NPI | - | NPPES |
| 100110960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17199 (Oklahoma) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 17199 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shepherd Home Health And Hospice, Llc | Clinton, OK | Home health agency |
| Alliance Oklahoma Home Health Western Ok | Clinton, OK | Home health agency |
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Weatherford Regional Hospital, Inc Of Weatherford | Weatherford, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Cordell Memorial Hospital | Cordell, OK | Hospital |
| Great Plains Regional Medical Center | Elk city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Robert V Blakeburn Md Pc | 0446293120 | 6 |
| Entity Name | Emergency Physicians Of Midwest City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Entity Name | Robert V Blakeburn Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033106448 PECOS PAC ID: 0446293120 Enrollment ID: O20050801000572 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Entity Name | Midwest Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Van Blakeburn, MD 800 Frisco Ave, Clinton, OK 73601-3306 Ph: (580) 323-2700 | Robert Van Blakeburn, MD 800 Frisco Ave, Clinton, OK 73601-3306 Ph: (580) 323-2700 |
Lyndi Fisher, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10321 N 2274 Rd, Clinton, OK 73601 Phone: 580-331-3300 | |
Dr. Gary Lynn Hays, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 540 S 30th St, Clinton, OK 73601 Phone: 580-323-4141 Fax: 580-323-5065 | |
Mark Blaine Mann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Dr. Norma Iris Natal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 3060, Clinton, OK 73601 Phone: 580-323-2884 | |
Nadia Carolina Azuero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 30th St Ste 7, Clinton, OK 73601 Phone: 404-944-0685 Fax: 580-547-5035 | |
Dr. Jerry Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 S 4th St, Clinton, OK 73601 Phone: 580-331-2221 |