| Gregory Andrew Blackman, PAC, ATC | |
|
250 Green St, Gardner, MA 01440-1396 | |
| (978) 632-0800 | |
| Not Available |
| Full Name | Gregory Andrew Blackman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 250 Green St, Gardner, Massachusetts |
| 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 |
|---|---|---|---|
| 1356897581 | NPI | - | NPPES |
| PA100402 | Other | MA | LICENSE |
| 2000020732 | Other | BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER | |
| MPA10000541 | Other | MA | CONTROLLED |
| 1174263 | Other | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | |
| MSC000004A | Other | MA | PRESCRIBE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heywood Hospital - | Gardner, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heywood Medical Group Inc. | 6901882836 | 111 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Heywood Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Andrew Blackman, PAC, ATC 250 Green St Ste 205, Gardner, MA 01440-1377 Ph: (978) 632-0800 | Gregory Andrew Blackman, PAC, ATC 250 Green St, Gardner, MA 01440-1396 Ph: (978) 632-0800 |
Emily Kathryn Diconza Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 59 Eastwood Cir, Gardner, MA 01440 Phone: 872-231-3162 Fax: 702-977-1496 |
Mrs. Kelley Ann Prendergast, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 175 Connors Street, Gardner, MA 01440 Phone: 978-410-6121 Fax: 978-410-6109 |
Kristina Lahtinen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 266 Main St, Gardner, MA 01440 Phone: 978-630-5030 |
Mr. Ryan Paul Balthaser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Timpany Blvd, Gardner, MA 01440 Phone: 978-632-8100 |
Quianna Jazmyne Diaz-patterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 86 Highland St, Gardner, MA 01440 Phone: 603-438-0573 |
Casie Hurd Short, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 175 Connors St, Gardner, MA 01440 Phone: 978-410-6100 |
Jenna Garozzo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Timpany Blvd, Gardner, MA 01440 Phone: 978-632-8100 |