Tristan Dee Blackburn, MD | |
3991 Dutchmans Ln Ste 208, Louisville, KY 40207-4723 | |
(502) 899-6061 | |
(502) 899-6127 |
Full Name | Tristan Dee Blackburn |
---|---|
Gender | Female |
Speciality | Rheumatology |
Experience | 17 Years |
Location | 3991 Dutchmans Ln Ste 208, Louisville, Kentucky |
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 |
---|---|---|---|
1417176249 | NPI | - | NPPES |
7100252740 | Medicaid | KY | |
201069110 | Medicaid | IN | |
50052639 | Other | KY | PASSPORT- NORTON RHEUMATOLOGY SPECIALISTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 46118 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Medical Associates Inc | 7012811284 | 1179 |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
Tristan Dee Blackburn, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Tristan Dee Blackburn, MD 3991 Dutchmans Ln Ste 208, Louisville, KY 40207-4723 Ph: (502) 899-6061 |
Cindy J Code, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way, Suite 303, Louisville, KY 40207 Phone: 502-896-1880 Fax: 502-896-1887 | |
Dr. Uchenna Loretta Ozor, M.D Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St Bldg Suite303, Louisville, KY 40202 Phone: 502-629-5552 Fax: 502-629-3132 | |
Mohamed Hegazi, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 529 S Jackson St, Louisville, KY 40202 Phone: 502-562-4270 | |
Dr. Michael Patrick Krease, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste G58, Louisville, KY 40217 Phone: 502-452-9567 | |
Dr. Ramsey Nasri Nassar, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205 Phone: 502-587-9660 Fax: 502-540-5615 | |
Jeanne M Thompson, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-8095 Fax: 502-636-8097 | |
Terrence P Donohue, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3101 Poplar Level Rd Ste 101, Louisville, KY 40213 Phone: 502-636-7444 Fax: 502-636-7112 |