| Blen D Blackwell, PA-C | |
|
3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | |
| (601) 554-7400 | |
| (601) 554-7499 |
| Full Name | Blen D Blackwell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3688 Veterans Memorial Dr., Hattiesburg, 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 |
|---|---|---|---|
| 1811217409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00132 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fgh Trauma Surgery Clinic | 7517916331 | 12 |
| Mailing Address | Practice Location Address |
|---|---|
| Blen D Blackwell, PA-C 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 Ph: (601) 554-7400 | Blen D Blackwell, PA-C 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 Ph: (601) 554-7400 |
Lauren Marie Worley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Stacey Joyner, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Comanche Dr, Hattiesburg, MS 39402 Phone: 601-604-2858 | |
Riley Phillips, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 | |
Clifton H Davis, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 | |
Mr. Jimmie G Moore Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 | |
Micah Childs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 Phone: 601-554-7400 | |
Marshall Bynum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 |