| Lisa Ann Blacklidge, PA-C | |
|
206 2nd St E, Bradenton, FL 34208-1042 | |
| (941) 746-5111 | |
| (941) 745-7233 |
| Full Name | Lisa Ann Blacklidge |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 206 2nd St E, Bradenton, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275596728 | NPI | - | NPPES |
| 015120400 | Medicaid | FL | |
| 970020641 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9101122 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Blacklidge, PA-C 367 S. Gulph Rd, Att Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (775) 356-9393 | Lisa Ann Blacklidge, PA-C 206 2nd St E, Bradenton, FL 34208-1042 Ph: (941) 746-5111 |
Marcie Kroska, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 | |
Bryan Najjar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 59th St W, Bradenton, FL 34209 Phone: 706-863-9595 Fax: 706-868-8375 | |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 | |
Mindy Oberley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 | |
Natalie Anne Brown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 59th St W, Bradenton, FL 34209 Phone: 855-863-9595 | |
Katelyn Trepanier, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2210 61st St W, Bradenton, FL 34209 Phone: 941-747-8711 | |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6033 26th St W, Bradenton, FL 34207 Phone: 941-752-2025 |