| Royce Blackwood, PA-C | |
|
360 Broadway, Bangor, ME 04401-3979 | |
| (207) 907-3650 | |
| (207) 907-3660 |
| Full Name | Royce Blackwood |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 360 Broadway, Bangor, Maine |
| 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 |
|---|---|---|---|
| 1992286546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (Maine) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA1855 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Hospital | 6406766336 | 150 |
| Mailing Address | Practice Location Address |
|---|---|
| Royce Blackwood, PA-C C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8560 | Royce Blackwood, PA-C 360 Broadway, Bangor, ME 04401-3979 Ph: (207) 907-3650 |
Sarah Anne Whitty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Union St Ste 4, Bangor, ME 04401 Phone: 973-768-5029 | |
Mary White, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 543 Broadway, Bangor, ME 04401 Phone: 207-922-1300 Fax: 207-217-6742 | |
John Michael Rutledge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 417 State Street, Webber West Suite 340, Bangor, ME 04401 Phone: 207-973-4949 Fax: 207-973-4466 | |
Margaret Elizabeth Kasper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4949 | |
Kenneth G Nadeau, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-404-8181 Fax: 207-922-4198 | |
Dara H Knapp, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Katherine Page Conway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 |