Dr David Michael Blacklock Jr, MD | |
350 Hawthorne Ave, Oakland, CA 94609-3108 | |
(510) 655-4000 | |
(510) 658-8593 |
Full Name | Dr David Michael Blacklock Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 350 Hawthorne Ave, Oakland, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851503593 | NPI | - | NPPES |
1851503593 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A95723 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ambulatory Consultants Medical Group Inc | 0446299184 | 5 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | East Bay Anesthesiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226242 PECOS PAC ID: 2365348950 Enrollment ID: O20031212000512 |
Entity Name | Ambulatory Consultants Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437178563 PECOS PAC ID: 0446299184 Enrollment ID: O20050502000809 |
Entity Name | Anesthesia Care Associates Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215985023 PECOS PAC ID: 1850334384 Enrollment ID: O20050606001171 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1104067115 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000456 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1497996524 PECOS PAC ID: 4284538778 Enrollment ID: O20090506000097 |
Entity Name | Pontine Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053757609 PECOS PAC ID: 1052550266 Enrollment ID: O20130722000133 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1568851327 PECOS PAC ID: 4284538778 Enrollment ID: O20170927001545 |
Mailing Address | Practice Location Address |
---|---|
Dr David Michael Blacklock Jr, MD 3173 Miranda Ave, Alamo, CA 94507-1610 Ph: (415) 515-4960 | Dr David Michael Blacklock Jr, MD 350 Hawthorne Ave, Oakland, CA 94609-3108 Ph: (510) 655-4000 |
Therese M. Hickey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Tobechi Okoronkwo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, A2 Room 18, Oakland, CA 94602 Phone: 510-535-7618 | |
Dr. David P. Redlin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Richard Glaser, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244 | |
Dr. Stephen Cooper, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 Fax: 510-869-8906 | |
Dr. Brian Hite, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244 Fax: 415-383-7142 | |
Margaret Elizabeth Galloway, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 |