Dr Jack Thomas Blackwell Jr, MD | |
415 Eisenhower Dr, Ste 6, Savannah, GA 31406-2600 | |
(912) 354-3510 | |
(912) 356-3391 |
Full Name | Dr Jack Thomas Blackwell Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 45 Years |
Location | 415 Eisenhower Dr, Savannah, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356332100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 023908 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Georgia Regional Medical Center | Statesboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams Southeast Llc | 3870880792 | 66 |
Entity Name | Georgia Anesthesia And Pain Managment |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053419044 PECOS PAC ID: 2466459722 Enrollment ID: O20061030000132 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Thomas Blackwell Jr, MD 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1482 | Dr Jack Thomas Blackwell Jr, MD 415 Eisenhower Dr, Ste 6, Savannah, GA 31406-2600 Ph: (912) 354-3510 |
Franklyn Philip Bousquet Iii, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11705 Mercy Blvd, Savannah, GA 31419 Phone: 912-819-6000 | |
Christopher Osteen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11705 Mercy Blvd, Savannah, GA 31419 Phone: 912-819-4100 | |
Judson P Cuttino, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8 Stephenson Ave, Savannah, GA 31405 Phone: 912-354-2479 | |
Nicole Marie Tetro, CAA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-819-6000 | |
Natalie Eatmon, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8 Stephenson Ave, Savannah, GA 31405 Phone: 912-654-2479 | |
Zachary Haas, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-819-6000 | |
David Heimbinder, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-8000 |