Joel M Blackburn, DO | |
3916 S Providence Rd Ste 101, Columbia, MO 65203-7152 | |
(573) 882-1662 | |
(573) 882-4096 |
Full Name | Joel M Blackburn |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 3916 S Providence Rd Ste 101, 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 |
---|---|---|---|
1801967047 | NPI | - | NPPES |
116134 | Other | BLUE CROSS/BLUE SHIELD | |
209166909 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2003004595 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Moberly Regional Medical Center | Moberly, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ripley Emergency Group Llc | 1254757446 | 21 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Entity Name | Capital Emergency Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871626309 PECOS PAC ID: 8527104520 Enrollment ID: O20091006000015 |
Entity Name | Nextcare Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245694082 PECOS PAC ID: 7517259252 Enrollment ID: O20160715001960 |
Entity Name | Centerpointe Hospital Of Columbia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760973044 PECOS PAC ID: 0446502652 Enrollment ID: O20190607000368 |
Entity Name | Nes Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073161451 PECOS PAC ID: 2365403615 Enrollment ID: O20190926001567 |
Entity Name | Ripley Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720606023 PECOS PAC ID: 1254757446 Enrollment ID: O20200819000175 |
Mailing Address | Practice Location Address |
---|---|
Joel M Blackburn, DO Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Joel M Blackburn, DO 3916 S Providence Rd Ste 101, Columbia, MO 65203-7152 Ph: (573) 882-1662 |
Rylee Shawn Duckworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 | |
Dr. Michael Habhab, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212 Phone: 573-884-4400 | |
Michael Hauan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-3573 Fax: 314-631-4491 | |
Derek G Hebert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-6003 Fax: 573-884-5410 | |
Dr. Betsy Lynn Borsheski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902 | |
Dylan Carroll, Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Suite M562, Columbia, MO 65212 Phone: 573-884-3233 Fax: 573-884-5994 | |
George Jesus Ubinas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 |