Brian P Blackwood, MD | |
600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806 | |
(312) 942-6510 | |
Not Available |
Full Name | Brian P Blackwood |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 600 S Paulina St, Chicago, Illinois |
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 |
---|---|---|---|
1336435056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125060193 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-st Anthony Hospital | Lakewood, CO | Hospital |
St. Anthony Summit Medical Center | Frisco, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acute Care Surgery Medical Group Inc | 7214006816 | 138 |
Entity Name | Acute Care Surgery Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221206002128 |
Mailing Address | Practice Location Address |
---|---|
Brian P Blackwood, MD 111 E Chestnut St Apt 32g, Chicago, IL 60611-2018 Ph: (225) 247-2557 | Brian P Blackwood, MD 600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806 Ph: (312) 942-6510 |
Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500 | |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 |