| Jason Barry Blackburn, CRNA | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-2037 | |
| Not Available |
| Full Name | Jason Barry Blackburn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| 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 |
|---|---|---|---|
| 1306344049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704286557 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sjmhs Anesthesia Services | 7416053483 | 98 |
| Entity Name | Sjmhs Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215026281 PECOS PAC ID: 7416053483 Enrollment ID: O20070508000487 |
| Entity Name | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Barry Blackburn, CRNA 21921 Trombly St, Saint Clair Shores, MI 48080-1282 Ph: (586) 899-0774 | Jason Barry Blackburn, CRNA 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-2037 |
Mary Lynn Meisel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Tracy Chase Groves, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Timothy Erdmann, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-349-4000 | |
Earl G Auty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Deborah A Dulman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Sean O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Christina Anne O'brien, M.S., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |