| Dr Thomas Rayford Blackledge Jr, MD | |
|
147 Reynoir St Ste 201, Biloxi, MS 39530-4121 | |
| (228) 822-6788 | |
| (228) 822-6789 |
| Full Name | Dr Thomas Rayford Blackledge Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 147 Reynoir St Ste 201, Biloxi, Mississippi |
| 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 |
|---|---|---|---|
| 1497798615 | NPI | - | NPPES |
| 00115523 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14559 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Flowood, MS | Home health agency |
| Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of Jackson | Clinton, MS | Home health agency |
| Covington County Hospital Cah | Collins, MS | Hospital |
| Magee General Hospital | Magee, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covington County Hospital | 4183517253 | 44 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750895611 PECOS PAC ID: 4183517253 Enrollment ID: O20190517001731 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Rayford Blackledge Jr, MD 147 Reynoir St Ste 201, Biloxi, MS 39530-4121 Ph: (228) 822-6788 | Dr Thomas Rayford Blackledge Jr, MD 147 Reynoir St Ste 201, Biloxi, MS 39530-4121 Ph: (228) 822-6788 |
Dylan R Cooper, Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 | |
Dr. James Walter Cook, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 468 Tuscano Ln, Biloxi, MS 39531 Phone: 601-668-6892 | |
Paul M Pavlov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15012 Lemoyne Blvd, Biloxi, MS 39532 Phone: 228-392-5050 Fax: 229-392-5342 | |
Dr. Cherie Diane Knight, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, 11e, Biloxi, MS 39531 Phone: 228-523-4718 Fax: 228-523-4986 | |
Babak Amrollahie, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715a Division St, Biloxi, MS 39530 Phone: 228-374-2494 Fax: 228-396-3457 | |
Dr. Hoyet Arlon Hand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532 Phone: 228-392-7760 Fax: 228-392-7646 | |
Lauren Mikell Palmer, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 936 Tommy Munro Dr, Biloxi, MS 39532 Phone: 228-396-2663 |