Dr Harold Blankenship, DO | |
336 S Jefferson St, Neosho, MO 64850-1769 | |
(417) 455-4200 | |
(417) 455-4314 |
Full Name | Dr Harold Blankenship |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 336 S Jefferson St, Neosho, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003840901 | NPI | - | NPPES |
197311 | Other | ANTHEM | |
207291402 | Medicaid | MO | |
100183010A | Medicaid | OK | |
200312050A | Medicaid | KS | |
P00215074 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2005009945 (Missouri) | Primary |
208M00000X | Hospitalist | 2005009945 (Missouri) | Secondary |
Entity Name | Freeman Neosho Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083045686 PECOS PAC ID: 4284624552 Enrollment ID: O20040729000101 |
Entity Name | Cornerstone Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104549948 PECOS PAC ID: 4284000183 Enrollment ID: O20221018001701 |
Mailing Address | Practice Location Address |
---|---|
Dr Harold Blankenship, DO Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 455-4200 | Dr Harold Blankenship, DO 336 S Jefferson St, Neosho, MO 64850-1769 Ph: (417) 455-4200 |
Jacob Martin Edge, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Melanie Susan Akuna, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Dr. Shelby L Tinney-edge, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Dr. Robert Leroy Sweeten Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Hickory St, Neosho, MO 64850 Phone: 417-451-4545 Fax: 417-389-2341 | |
Lewis David Shuler, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2550 Lusk Dr, Neosho, MO 64850 Phone: 417-451-2227 Fax: 417-451-2169 | |
Larry G Barnes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 S Jefferson, Neosho, MO 64850 Phone: 417-455-4200 Fax: 417-455-4314 |