Alice B Blount, MD | |
20102 Cougar Trl, Christoval, TX 76935-1605 | |
(574) 339-5120 | |
Not Available |
Full Name | Alice B Blount |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 20102 Cougar Trl, Christoval, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912120882 | NPI | - | NPPES |
191113301 | Medicaid | TX | |
8B7582 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
P00471769 | Other | TX | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M6053 (Texas) | Primary |
207P00000X | Emergency Medicine | M6053 (Texas) | Secondary |
207Q00000X | Family Medicine | 11012388 (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Swisher Memorial Hospital | Tulia, TX | Hospital |
Shamrock General Hospital | Shamrock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Medical Group Pllc | 0446296818 | 125 |
Concord Medical Group Of Texas Pllc | 7810117223 | 258 |
Entity Name | Muenster Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972556009 PECOS PAC ID: 6608785993 Enrollment ID: O20031106000571 |
Entity Name | Ballinger Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225038938 PECOS PAC ID: 0042200180 Enrollment ID: O20040512001286 |
Entity Name | Brazos Valley Community Action Agency, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821185299 PECOS PAC ID: 4284542127 Enrollment ID: O20040708001095 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concho County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134166226 PECOS PAC ID: 3971505298 Enrollment ID: O20070815000340 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
---|---|
Alice B Blount, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Alice B Blount, MD 20102 Cougar Trl, Christoval, TX 76935-1605 Ph: (574) 339-5120 |