Christopher Blackstock, MD, PHD | |
120 Ochsner Blvd, Gretna, LA 70056-5255 | |
(504) 595-8020 | |
(504) 391-8707 |
Full Name | Christopher Blackstock |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 120 Ochsner Blvd, Gretna, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235665308 | NPI | - | NPPES |
MT213385 | Other | PA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MT213385 (Pennsylvania) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 333584 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
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Christopher Blackstock, MD, PHD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Christopher Blackstock, MD, PHD 120 Ochsner Blvd, Gretna, LA 70056-5255 Ph: (504) 595-8020 |
Casey Lynn Duvall, MD Surgery Medicare: Medicare Enrolled Practice Location: 308 Sugarpine Dr, Gretna, LA 70056 Phone: 504-494-1044 | |
Bruce Seymour Torrance Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Highway, Gretna, LA 70056 Phone: 504-391-5275 | |
Jeannie Lan Nguyen, Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Ochsner Blvd, Gretna, LA 70056 Phone: 504-595-8020 | |
Thomas Archer Boos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest Street, Suite 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 | |
Joshua D Parks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-391-5275 | |
Emery August Minnard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Meadowcrest St, Ste 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 |