Mr Marcus E Blackstone, MD | |
404 Se Main St, Simpsonville, SC 29681-2652 | |
(864) 963-8002 | |
(864) 963-2742 |
Full Name | Mr Marcus E Blackstone |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 404 Se Main St, Simpsonville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366453458 | NPI | - | NPPES |
P00446146 | Other | SC | RR MEDICARE |
187470 | Medicaid | SC | |
18747 | Other | SC | STATE LICENSE # |
576007863095 | Other | SC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18747 (South Carolina) | Primary |
Entity Name | St Francis Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
Mailing Address | Practice Location Address |
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Mr Marcus E Blackstone, MD Po Box 279, 404 Southeast Main St, Simpsonville, SC 29681 Ph: (864) 963-8002 | Mr Marcus E Blackstone, MD 404 Se Main St, Simpsonville, SC 29681-2652 Ph: (864) 963-8002 |
Debra Ann Wagner, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-522-1170 | |
Sarah Beth Wells, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 320, Simpsonville, SC 29681 Phone: 864-454-6440 Fax: 864-454-6445 | |
Travis Charles Sizemore, D.O., MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Fairview Pointe Dr, Simpsonville, SC 29681 Phone: 864-881-8500 | |
Krishna Kumar Pudi, MD PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Dr # A, Simpsonville, SC 29681 Phone: 864-963-9090 Fax: 864-962-0610 | |
Dr. James Coan Mcalpine Iii, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-603-5600 Fax: 864-603-5601 | |
Edna Katherine Gantt Gettys, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-522-1170 Fax: 864-522-1175 | |
Ashley Eve Eisner, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 727 Se Main St Ste 120, Simpsonville, SC 29681 Phone: 864-454-6700 Fax: 864-454-6705 |