Camille Denise Blackledge, MD | |
2405 W Missouri Ave, Midland, TX 79701-6800 | |
(432) 697-1061 | |
(432) 697-7089 |
Full Name | Camille Denise Blackledge |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 15 Years |
Location | 2405 W Missouri Ave, Midland, 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 |
---|---|---|---|
1427291533 | NPI | - | NPPES |
363823103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 33297 (Alabama) | Secondary |
208600000X | Surgery | Q5158 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midland Memorial Hospital | Midland, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midland Surgical Associates, P.a. | 1759473044 | 7 |
Entity Name | Midland Surgical Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356452668 PECOS PAC ID: 1759473044 Enrollment ID: O20070924000750 |
Mailing Address | Practice Location Address |
---|---|
Camille Denise Blackledge, MD 2405 W Missouri Ave, Midland, TX 79701-6800 Ph: (432) 697-1061 | Camille Denise Blackledge, MD 2405 W Missouri Ave, Midland, TX 79701-6800 Ph: (432) 697-1061 |
Dr. Parker Allen Bassett, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2405 W Missouri Ave, Midland, TX 79701 Phone: 432-697-1061 Fax: 432-697-7089 | |
Priscilla Wilson, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Tradewinds Blvd Ste B, Midland, TX 79706 Phone: 432-618-6772 Fax: 432-618-6775 | |
Roger Belizaire, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2004 W Ohio Ave, Midland, TX 79701 Phone: 432-686-8724 Fax: 432-686-0601 | |
Sriramamurthy Subbaraman, M.D., F.A.C.S Surgery Medicare: Not Enrolled in Medicare Practice Location: 4214 Andrews Hwy Ste 208, Midland, TX 79703 Phone: 432-689-3503 Fax: 432-689-3553 | |
Guillermo Eduardo Brachetta, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2300 Michigan Ave, Suite #1, Midland, TX 79701 Phone: 432-687-0181 Fax: 432-687-1003 | |
Dr. Donald Edwin Crockett Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 2405 W Missouri Ave, Midland, TX 79701 Phone: 432-697-1061 Fax: 432-697-7089 |