Kevin Michael Blackwood, MD | |
7777 Hennessy Blvd Ste 301, Baton Rouge, LA 70808-0319 | |
(225) 214-6438 | |
Not Available |
Full Name | Kevin Michael Blackwood |
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Gender | Male |
Speciality | Anesthesiology |
Location | 7777 Hennessy Blvd Ste 301, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538468426 | NPI | - | NPPES |
2149733 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 301615 (Louisiana) | Primary |
Entity Name | Anesthesiology Group Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
Entity Name | Zephyr Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
Mailing Address | Practice Location Address |
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Kevin Michael Blackwood, MD 7777 Hennessy Blvd Ste 301, Baton Rouge, LA 70808-0319 Ph: (225) 214-6438 | Kevin Michael Blackwood, MD 7777 Hennessy Blvd Ste 301, Baton Rouge, LA 70808-0319 Ph: (225) 214-6438 |
Sara Adams Martin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808 Phone: 225-214-6438 Fax: 225-214-6437 | |
James C Bagot, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Womans Way, Baton Rouge, LA 70817 Phone: 225-293-2523 Fax: 255-293-1807 | |
Dr. Roger Hector, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10620 Timberlake Ave, Baton Rouge, LA 70810 Phone: 225-761-1981 Fax: 225-761-1983 | |
Tiffany Moore Bourgeois, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842 | |
Dr. Leslie Kay Sheffield, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11408 Lake Sherwood Ave N Ste A, Baton Rouge, LA 70816 Phone: 225-754-9478 Fax: 225-659-8033 | |
Charles V Benedetto, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842 | |
Dr. Robert James Schutte, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11408 Lake Sherwood Ave N Ste A, Baton Rouge, LA 70816 Phone: 225-754-9478 Fax: 225-659-8033 |