| Jason Michael Blandford, FNP-BC | |
|
2432 E Main St, Jackson, MO 63755-2487 | |
| (573) 755-2305 | |
| Not Available |
| Full Name | Jason Michael Blandford |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2432 E Main St, Jackson, 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 |
|---|---|---|---|
| 1952056004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022005994 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 186 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Blandford, FNP-BC 2432 E Main St, Jackson, MO 63755-2487 Ph: (573) 755-2305 | Jason Michael Blandford, FNP-BC 2432 E Main St, Jackson, MO 63755-2487 Ph: (573) 755-2305 |
Ms. Lorilea Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2432 E Main St, Jackson, MO 63755 Phone: 573-755-2305 Fax: 573-519-4650 | |
John Franklin Niswonger, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 861 Canyon Trl, Jackson, MO 63755 Phone: 573-837-2390 | |
Mary Linda Byndom, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2130 Jackson Ave, Jackson, MO 63755 Phone: 573-243-2154 Fax: 573-243-3400 | |
Danielle Nicole Heath, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 424 Cedar Meadows Dr, Jackson, MO 63755 Phone: 618-499-2289 | |
Rachael Daume, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 E Main St, Jackson, MO 63755 Phone: 573-755-2310 | |
Crystal Ann Wekenborg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 | |
Chelsea Ann Bucher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 |