| Sam Blair, MD | |
|
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (719) 526-7000 | |
| Not Available |
| Full Name | Sam Blair |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
| 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 |
|---|---|---|---|
| 1093216095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.152800 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | DR.0066146 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 107 |
| Emergency Medicine Specialists Inc | 7315851359 | 109 |
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Blair, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7000 | Sam Blair, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7000 |
Matthew Nilan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-728-0869 | |
Dr. David Bruce Baumgartner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-524-4111 | |
John Alexander Powell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-9619 | |
Dr. William L Black, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7894 | |
Neil Patrick Larson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Dr. Gregory H Stiller, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 210-358-2078 |