Connie J Blackstone, MD | |
404 Se Main Street, Suite 300, Simpsonville, SC 29681-0279 | |
(864) 963-8002 | |
(864) 963-2742 |
Full Name | Connie J Blackstone |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 404 Se Main Street, Simpsonville, South Carolina |
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 |
---|---|---|---|
1497766588 | NPI | - | NPPES |
155370 | Medicaid | SC | |
576007863095 | Other | SC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15537 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Clinton | Clinton, SC | Home health agency |
St Francis Hospital Home Care | Greenville, SC | Home health agency |
Nhc Homecare Laurens | Clinton, SC | Home health agency |
St Francis-downtown | Greenville, SC | Hospital |
Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
Prisma Health Patewood Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Francis Physician Services Inc | 6608826821 | 93 |
Entity Name | St Francis Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
Mailing Address | Practice Location Address |
---|---|
Connie J Blackstone, MD Po Box 279, 404 Se Main Street, Simpsonville, SC 29681-0279 Ph: (864) 963-8002 | Connie J Blackstone, MD 404 Se Main Street, Suite 300, Simpsonville, SC 29681-0279 Ph: (864) 963-8002 |
Debra Ann Wagner, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-522-1170 | |
Sarah Beth Wells, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 320, Simpsonville, SC 29681 Phone: 864-454-6440 Fax: 864-454-6445 | |
Krishna Kumar Pudi, MD PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Dr # A, Simpsonville, SC 29681 Phone: 864-963-9090 Fax: 864-962-0610 | |
Dr. James Coan Mcalpine Iii, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-603-5600 Fax: 864-603-5601 | |
Edna Katherine Gantt Gettys, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-522-1170 Fax: 864-522-1175 | |
Mr. Marcus E Blackstone, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 404 Se Main St, Simpsonville, SC 29681 Phone: 864-963-8002 Fax: 864-963-2742 | |
Leon Buffaloe Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114b Hospital Dr, Simpsonville, SC 29681 Phone: 864-757-5177 Fax: 864-757-5178 |