William Blackerby, | |
434 Hospital Drive, Linville, NC 28646 | |
(800) 291-4020 | |
(919) 419-7247 |
Full Name | William Blackerby |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 434 Hospital Drive, Linville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942243001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20103 (North Carolina) | Primary |
Entity Name | Angel Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497753651 PECOS PAC ID: 9638253297 Enrollment ID: O20090312000353 |
Entity Name | Jefferson Emergency Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
Mailing Address | Practice Location Address |
---|---|
William Blackerby, 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (800) 291-4020 | William Blackerby, 434 Hospital Drive, Linville, NC 28646 Ph: (800) 291-4020 |
Heidi Aldridge, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 Hospital Dr, Linville, NC 28646 Phone: 800-291-4020 Fax: 919-419-7247 | |
Jonathan G Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 336-716-2255 | |
Shelburne D. Wilson Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 800-291-4020 Fax: 919-419-7247 | |
Dr. Andrew Chidester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 Hospital Dr, Linville, NC 28646 Phone: 828-737-7000 | |
Dr. John Clayton Skarda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 800-291-4020 Fax: 919-419-7247 | |
Mark Bardou, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 434 Hospital Drive, Linville, NC 28646 Phone: 828-737-7449 |