Kevin Blackmon, MD | |
3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | |
(360) 493-6400 | |
Not Available |
Full Name | Kevin Blackmon |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 3624 Ensign Rd Ne, Olympia, Washington |
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 |
---|---|---|---|
1538121892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 36968 (Washington) | Primary |
Facility Name | Location | Facility Type |
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Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rainier Anesthesia Associates Pc | 4284523499 | 63 |
Entity Name | Rainier Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487637013 PECOS PAC ID: 4284523499 Enrollment ID: O20040315000756 |
Entity Name | Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047 |
Mailing Address | Practice Location Address |
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Kevin Blackmon, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: () - | Kevin Blackmon, MD 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 Ph: (360) 493-6400 |
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Bryan D Wales, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506 Phone: 360-493-6400 | |
Calvin Takchun Wong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 425-407-1500 | |
Dr. Douglas Wayne Taylor, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502 Phone: 360-786-8990 Fax: 360-786-9010 | |
Nathan Swiss, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Charles Richard Harding, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506 Phone: 360-493-6400 | |
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