Bianca Blackstone, | |
1305 Wonder World Dr Ste 200, San Marcos, TX 78666-7502 | |
(512) 754-8676 | |
(512) 371-6891 |
Full Name | Bianca Blackstone |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1305 Wonder World Dr Ste 200, San Marcos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043098775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | 819527 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1140411 (Texas) | Primary |
Entity Name | Gulf Coast Intensivists, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104509199 PECOS PAC ID: 2264896364 Enrollment ID: O20230907002726 |
Entity Name | Laredo Icu Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649952649 PECOS PAC ID: 7618324898 Enrollment ID: O20231109000863 |
Mailing Address | Practice Location Address |
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Bianca Blackstone, 1700 E Saunders St, Laredo, TX 78041-5474 Ph: () - | Bianca Blackstone, 1305 Wonder World Dr Ste 200, San Marcos, TX 78666-7502 Ph: (512) 754-8676 |
Mr. Manuel Rene Galan, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 N Interstate 35, San Marcos, TX 78666 Phone: 512-648-6188 | |
Mrs. Linda Lou Steele, RNCWHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Uhland Rd Ste 107, San Marcos, TX 78666 Phone: 512-392-1161 | |
Mrs. Ashley M Martin, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Stagecoach Trl Ste 220, San Marcos, TX 78666 Phone: 844-824-8775 | |
Judith Elaine Gros, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Uhland Rd, Suite 107, San Marcos, TX 78666 Phone: 512-392-1161 Fax: 512-392-3530 | |
Ashley Ferguson, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1228 N Highway 123, San Marcos, TX 78666 Phone: 512-392-5556 Fax: 512-392-8828 | |
Mrs. Nikaley Anne Basham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1228 N State Highway 123, San Marcos, TX 78666 Phone: 512-392-5556 |