John Louis Blanco, MD | |
300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 | |
(304) 263-4967 | |
(304) 267-0974 |
Full Name | John Louis Blanco |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 300 Foxcroft Ave, Martinsburg, West 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 |
---|---|---|---|
1134165285 | NPI | - | NPPES |
022130900 | Medicaid | MD | |
1801316000 | Medicaid | WV | |
000150164 | Other | WV | WV BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20314 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Berkeley Medical Center | Martinsburg, WV | Hospital |
Jefferson Medical Center | Ranson, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | Martinsburg Radiology Assoc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922092568 PECOS PAC ID: 5496705071 Enrollment ID: O20050201000184 |
Entity Name | University Healthcare Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
Mailing Address | Practice Location Address |
---|---|
John Louis Blanco, MD 300 Foxcroft Ave Ste 202b, Martinsburg, WV 25401-5341 Ph: (304) 263-4967 | John Louis Blanco, MD 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 Ph: (304) 263-4967 |
Dimitri Misailidis, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-5461 | |
Dr. David Long Lawrence, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Dr. Peter Markovic, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Imaging Service, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Edward W. Kiggundu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 1100, Martinsburg, WV 25401 Phone: 304-262-8800 Fax: 304-262-8203 | |
Dr. Vivek Padha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Dr, Martinsburg, WV 25401 Phone: 304-596-6828 Fax: 304-596-5112 | |
Hojoon Jung, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401 Phone: 304-263-4967 Fax: 304-267-5461 |