Melanie Diane Blackburn
M.D. | Pediatrics | Female
Melanie Diane Blackburn, M.D. is a Columbia, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics. Melanie Diane Blackburn is also known as
Melanie D Hooker.
Current practice location of Melanie Diane Blackburn is
14 Richland Medical Park Dr Ste 400, Columbia, South Carolina - 29203-6878. She can be contacted on phone at
803-434-7945 and fax number 803-434-3855.
Melanie Diane Blackburn is a sole proprietor of her business.
NPI number (Unique professional ID) for Melanie Diane Blackburn is
1750410965 which was assigned by NPPES on 05 Mar, 2007 and it was last updated on 30 Jun, 2021.
Melanie Diane Blackburn license number is
28185 for Pediatrics (208000000X) in South Carolina.
Melanie Diane Blackburn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melanie Diane Blackburn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melanie Diane Blackburn |
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| Other Name : | Melanie D Hooker |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Melanie Diane Blackburn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14 Richland Medical Park Dr Ste 400
Columbia, SC, 29203-6878
United States |
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| Phone Number : | 803-434-7945 |
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| Fax Number : | 803-434-3855 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750410965 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Mar, 2007 |
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| Last Updated On : | 30 Jun, 2021 |
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Medicare Participation:
Melanie Diane Blackburn participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9436220126 |
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| Medicare Enrollment ID : | I20080624000687 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of South Carolina School Of Medicine |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Melanie Diane Blackburn accepts medicare insurance. |
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Group Practice Association:
Melanie Diane Blackburn is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Melanie Diane Blackburn is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Prisma Health Medical Group-midlands | 5991099707 | 843 | 14 Richland Medical Park Dr
Suite 400
Columbia, SC - 292036878
Ph: 8034347945 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melanie Diane Blackburn are as mentioned. Primary taxonomy code for Melanie Diane Blackburn, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 28185 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Melanie Diane Blackburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 281858 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mblackburn377139@direct.ghs.myhfn.org
| No affiliation | DIRECT
Direct
| OTHER
Other
mblackburn377139@direct.ghs.myhfn.org | 14 RICHLAND MEDICAL PARK DR STE 400,
COLUMBIA, SC, 29203-6878
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 743904
Atlanta, GA, 30374-3904
United States |
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| Phone Number : | 803-296-7320 |
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| Fax Number : | 803-296-7330 |
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Business Location:
Patients can refer following map for directions to
Melanie Diane Blackburn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.