Harold Todd Blackmon, FNP | |
2601 Village Professional Dr N, Opelika, AL 36801-4784 | |
(334) 528-5400 | |
(334) 528-5421 |
Full Name | Harold Todd Blackmon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2601 Village Professional Dr N, Opelika, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639792955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-081439 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Alabama Heart And Vascular, Llc | 9638344708 | 19 |
Entity Name | East Alabama Heart And Vascular, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104193069 PECOS PAC ID: 9638344708 Enrollment ID: O20111219000892 |
Mailing Address | Practice Location Address |
---|---|
Harold Todd Blackmon, FNP 2601 Village Professional Dr N, Opelika, AL 36801-4784 Ph: (334) 528-5400 | Harold Todd Blackmon, FNP 2601 Village Professional Dr N, Opelika, AL 36801-4784 Ph: (334) 528-5400 |
Brian Clay Young, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 638 Lee Road 483, Opelika, AL 36804 Phone: 770-547-3632 | |
Mrs. Brandy D Mcculloch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-1112 Fax: 334-528-1547 | |
Ms. Karen Ann Land, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Pkwy, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Sandy Whitaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3320 Skyway Dr, Suite 801, Opelika, AL 36801 Phone: 334-821-0238 Fax: 334-821-6685 | |
Mrs. Nancy Mcdonald, CRNP, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-7200 Fax: 334-528-3470 | |
Mrs. Sylvia Anderson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 N 20th St, #6, Opelika, AL 36801 Phone: 334-749-3385 Fax: 334-745-7672 | |
Kristin Ann Mealer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Lee Road 29, Opelika, AL 36804 Phone: 334-733-0336 |