Russell Leslie Blackburn, MD in Hayward, CA

Russell Leslie Blackburn, MD is a medicare enrolled "Family Medicine" physician in Hayward, California. His current practice location is 21297 Foothill Blvd, Suite 201, Hayward, California. You can reach out to his office (for appointments etc.) via phone at (510) 538-4636.

Russell Leslie Blackburn is licensed to practice in California (license number A31946) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265448716.

Contact Information

	Russell Leslie Blackburn, MD
	21297 Foothill Blvd, Suite 201, Hayward, CA 94541-1554
	(510) 538-4636
	(510) 538-1615

Map and Direction

Physician's Profile

Full Name	Russell Leslie Blackburn
Gender	Male
Speciality	Family Medicine
Location	21297 Foothill Blvd, Hayward, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265448716
Provider Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163424193
Enrollment ID: I20070205000421

Medical Identifiers

Medical identifiers for Russell Leslie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265448716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A31946 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Leslie Blackburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Russell Leslie Blackburn, MD 21297 Foothill Blvd, Suite 201, Hayward, CA 94541-1554 Ph: (510) 538-4636	Russell Leslie Blackburn, MD 21297 Foothill Blvd, Suite 201, Hayward, CA 94541-1554 Ph: (510) 538-4636

Reviews and Comments

Family Medicine Doctors in Hayward, CA

Dr. Joseph William Ippolito, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Whipple Rd, Hayward, CA 94544 Phone: 510-378-3131 Fax: 510-324-0301
Abayomi S Jones, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25800 Carlos Bee Blvd, Hayward, CA 94542 Phone: 520-222-9664 Fax: 202-269-7990
Mr. Harshad Bhagwanjee Wadhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 Benmore Dr, Hayward, CA 94542 Phone: 412-779-6048
Jagveer Kaur, Family Medicine Medicare: Medicare Enrolled Practice Location: 22331 Mission Blvd, Hayward, CA 94541 Phone: 510-471-5880
Janique Tang How, Family Medicine Medicare: Medicare Enrolled Practice Location: 22331 Mission Blvd, Hayward, CA 94541 Phone: 510-471-5907
Jade Bito-onon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27206 Calaroga Ave Ste 105, Hayward, CA 94545 Phone: 510-785-5000

Russell Leslie Blackburn, MD - Medicare Family Medicine in Hayward, CA