| Thomas Alexander Blackwell, | |
|
701 Grove Rd Fl 1, Greenville, SC 29605-4210 | |
| (864) 455-7899 | |
| (864) 455-5474 |
| Full Name | Thomas Alexander Blackwell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 701 Grove Rd Fl 1, Greenville, South Carolina |
| 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 |
|---|---|---|---|
| 1265019970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 95569 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | 303135 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Emergency Providers | 7012819816 | 310 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Alexander Blackwell, 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8603 | Thomas Alexander Blackwell, 701 Grove Rd Fl 1, Greenville, SC 29605-4210 Ph: (864) 455-7899 |
Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Matthew Lewis Mullins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Christopher Steven Vega, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371 | |
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157 | |
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157 |