Dr Wilmer Kenneth Blaylock, MD | |
1250 E Marshall St, Dermatology -, Richmond, VA 23298-5051 | |
(804) 828-9361 | |
(804) 828-9596 |
Full Name | Dr Wilmer Kenneth Blaylock |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 66 Years |
Location | 1250 E Marshall St, Richmond, Virginia |
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 |
---|---|---|---|
1417982778 | NPI | - | NPPES |
5911761 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101013569 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcv Associated Physicians | 4385542117 | 1333 |
Entity Name | Mcv Associated Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Wilmer Kenneth Blaylock, MD Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100 | Dr Wilmer Kenneth Blaylock, MD 1250 E Marshall St, Dermatology -, Richmond, VA 23298-5051 Ph: (804) 828-9361 |
Dr. Calvin Odell Mccall Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Dermatology/111l, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5670 | |
Dr. Amanda Schmitt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6946 Forest Ave Ste 200, Richmond, VA 23230 Phone: 804-549-4040 Fax: 804-549-4032 | |
Suzanne K Peck, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9816 Mayland Dr, Suite 100, Richmond, VA 23233 Phone: 804-282-8510 Fax: 804-285-5750 | |
Dr. Mohammed Dany, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1001 E Leigh St, Richmond, VA 23298 Phone: 804-828-9361 Fax: 804-327-8114 | |
Dr. Brigitte Ullrich, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8715 Higginbotham Pl, Richmond, VA 23229 Phone: 804-282-2727 | |
Galen H Fisher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7001 Forest Ave, Suite 301, Richmond, VA 23230 Phone: 804-855-0372 Fax: 804-612-8280 | |
Dr. Matthew Malone Wallace, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9816 Mayland Dr Ste 100, Richmond, VA 23233 Phone: 804-282-8510 |