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Allison Morgan Blanks

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

This provider is enrolled in PECOS as ALLISON BLANKS.

Based on the most recent information from CMS, provider Allison Morgan Blanks is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1467643387
Provider Type
Individual
Full Name
Blanks, Allison Morgan
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/6/2007
Last Updated
4/5/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME109205 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME109205 Florida

Provider Identifiers

ID	Description	Issuer
ID 0042145-00	Description Medicaid	Issuer Unlisted Florida
ID P01046098	Description Other	Issuer RR MEDICARE Florida

Allison Morgan Blanks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

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ID

Description

Issuer

Mccarthy, Anna M

Geleidi, Anwar Salem

Naimi, Haroon

Kanar, Ozdemir Yusef

Saint-Phard, Tryphene

Chalamalasetty, Vijaya R

Sharaf, Sarah M

Dudhia, Summer Tuthill

Musto, Michele L.

Neuharth, Kristen Lynn