Jerry R Blair, MD, PHD | |
3600 Amron Ct, Columbia, MO 65202-1918 | |
(573) 874-1616 | |
(573) 875-0300 |
Full Name | Jerry R Blair |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 35 Years |
Location | 3600 Amron Ct, Columbia, Missouri |
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 |
---|---|---|---|
1790769701 | NPI | - | NPPES |
207965708 | Medicaid | MO | |
5388 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0107X | Ophthalmology - Retina Specialist | 108058 (Missouri) | Secondary |
207W00000X | Ophthalmology | 108058 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Retina Associates Of Missouri Pc | 6507924263 | 3 |
Entity Name | Retina Associates Of Missouri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144204553 PECOS PAC ID: 6507924263 Enrollment ID: O20090211000259 |
Mailing Address | Practice Location Address |
---|---|
Jerry R Blair, MD, PHD 3600 Amron Ct, Columbia, MO 65202-1918 Ph: (573) 874-1616 | Jerry R Blair, MD, PHD 3600 Amron Ct, Columbia, MO 65202-1918 Ph: (573) 874-1616 |
Mohannad Al-samarraie, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3215 Wingate Ct, Suite 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Vaishnavi Balendiran, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-3937 Fax: 573-884-5575 | |
Dr. Jella Angela An, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-1506 Fax: 573-884-5575 | |
Maggie A Cardonell, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Court, Ste 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Dr. Tricia Ann Fernandez, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Maxwell James Court, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct Ste 102, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Dr. Kathy J Lentz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Mason Eye Institute University Of Missouri, 1 Hospital Drive, Columbia, MO 65212 Phone: 573-882-1027 |