Shari A Blackmon, MD | |
400 W. 16th, Pueblo, CO 81003 | |
(719) 584-4767 | |
(719) 595-7906 |
Full Name | Shari A Blackmon |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 36 Years |
Location | 400 W. 16th, Pueblo, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134280662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 42193 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Ancillary Services Corporation | 4385722511 | 265 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
Shari A Blackmon, MD 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 584-4767 | Shari A Blackmon, MD 400 W. 16th, Pueblo, CO 81003 Ph: (719) 584-4767 |
Dr. Robert M. Long, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4495 Fax: 719-546-4476 | |
Dr. Sharon Ann Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 909 Court Street, Pueblo, CO 81003 Phone: 719-583-6430 Fax: 719-583-4577 | |
Scott Andrew Walmer, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Drive, Suite 100, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Caitlin Vigil, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Holly Anna Waller, APN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Dr. Susan R. Middleton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Dr, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Dr. Kenneth Rudolph Locke, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4818 |