| Timothy L Blackburn, MD | |
|
17067 S Outer Rd, Suite 200, Belton, MO 64012-2165 | |
| (816) 348-4281 | |
| (816) 348-4271 |
| Full Name | Timothy L Blackburn |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 17067 S Outer Rd, Belton, Missouri |
| 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 |
|---|---|---|---|
| 1558325605 | NPI | - | NPPES |
| 060066709 | Other | MO | RAILROAD MEDICARE |
| 1558325605 | Medicaid | MO | |
| 17891028 | Other | MO | BCBS-KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | R2P33 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Belton Regional Medical Center | Belton, MO | Hospital |
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Heart And Vascular Specialists Llc | 7618122417 | 70 |
| Midwest Heart And Vascular Specialists Llc | 7618122417 | 70 |
| Entity Name | Encompass Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063457299 PECOS PAC ID: 0143116053 Enrollment ID: O20040226000869 |
| Entity Name | Midwest Heart & Vascular Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736615 PECOS PAC ID: 7618122417 Enrollment ID: O20130228000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Blackburn, MD 2316 E Meyer Blvd Ste 509, Kansas City, MO 64132-1136 Ph: (816) 276-4800 | Timothy L Blackburn, MD 17067 S Outer Rd, Suite 200, Belton, MO 64012-2165 Ph: (816) 348-4281 |
Dr. Thomas Edward Hafer, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 17065 S 71 Highway, Belton, MO 64012 Phone: 816-348-1200 | |
Dr. Nicki D Rippeteau, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4606 E 184th St, Belton, MO 64012 Phone: 806-674-8222 | |
Dr. Corbin Curtis Stephens, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 17065 S Outer Rd, Belton, MO 64012 Phone: 816-348-1850 | |
Muhammed K Banday, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 17065 S 71 Highway, Belton, MO 64012 Phone: 816-348-1200 | |
Dr. Venkata Vamsi Nagineni, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 17065 S Outer Rd, Belton, MO 64012 Phone: 816-348-1850 |