Dr Glenn Koontz Blackburn Jr, MD in Somerset, KY

Dr Glenn Koontz Blackburn Jr, MD is a Pediatrics - Adolescent Medicine physician based in Somerset, Kentucky. Dr Glenn Koontz Blackburn Jr is licensed to practice in Kentucky (license number 16207) and his current practice location is Children's Clinic, 350 Langdon St., Somerset, Kentucky. He can be reached at his office (for appointments etc.) via phone at (606) 678-8155.

NPI number for Dr Glenn Koontz Blackburn Jr is 1750351037 and his current mailing address is Children's Clinic, 350 Langdon St., Somerset, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750351037.

Contact Information

	Dr Glenn Koontz Blackburn Jr, MD
	Children's Clinic, 350 Langdon St., Somerset, KY 42503
	(606) 678-8155
	(606) 678-7548

Map and Direction

Physician's Profile

Full Name	Dr Glenn Koontz Blackburn Jr
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	Children's Clinic, Somerset, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1750351037
Provider Enumeration Date: 01/26/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Glenn Koontz Blackburn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750351037	NPI	-	NPPES
64162076	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	16207 (Kentucky)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Koontz Blackburn Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Glenn Koontz Blackburn Jr, MD Children's Clinic, 350 Langdon St., Somerset, KY 42503 Ph: (606) 678-8155	Dr Glenn Koontz Blackburn Jr, MD Children's Clinic, 350 Langdon St., Somerset, KY 42503 Ph: (606) 678-8155

Reviews and Comments

Pediatrics Doctors in Somerset, KY

Cherice K Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548
Harry Lee Greene, M. D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Waitsboro Dr, Somerset, KY 42503 Phone: 561-317-3387 Fax: 606-451-9728
Rebecca Jeannine Blakley, CPNP Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Hospital Way Ste 100, Somerset, KY 42503 Phone: 865-207-3466
Deanna Marie Grubbs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548
Dr. Lisette Marie Garrett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548
Dr. Sheeba M. Picard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon Street, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548
Melissa G Hansford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Suite 1, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548

Dr Glenn Koontz Blackburn Jr, MD - Pediatrics in Somerset, KY