Dr Fred Blackledge, MD - Plastic Surgery in Jackson, MS

Dr Fred Blackledge, MD is a Plastic Surgery physician based in Jackson, Mississippi. Dr Fred Blackledge is licensed to practice in Mississippi (license number 16006) and his current practice location is 764 Lakeland Dr, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 981-3033.

NPI number for Dr Fred Blackledge is 1003890179 and his current mailing address is Po Box 24023, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003890179.

Contact Information

Dr Fred Blackledge, MD
764 Lakeland Dr,
Jackson, MS 39216-4617
(601) 981-3033
(601) 982-8132



Physician's Profile

Full NameDr Fred Blackledge
GenderMale
SpecialityPlastic Surgery
Location764 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003890179
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Fred Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003890179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 16006 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fred Blackledge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Fred Blackledge, MD
Po Box 24023,
Jackson, MS 39225-4023

Ph: (601) 366-1400
Dr Fred Blackledge, MD
764 Lakeland Dr,
Jackson, MS 39216-4617

Ph: (601) 981-3033

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› Verified 1 days ago


Plastic Surgery Doctors in Jackson, MS

Mrs. Marie Yonko, RN, BSN, CNOR, RNFA
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Div. Of Plastic Surgery, Jackson, MS 39216
Phone: 601-984-5180    Fax: 601-984-5183
Dr. Marc Edward Walker, M.D., M.B.A.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Dr. Michael Thomas Friel, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Division Of Plastic Surgery, Jackson, MS 39216
Phone: 601-984-5180    Fax: 601-984-5183
Benjamin C. Mcintyre, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Dept Of Surgery, Jackson, MS 39216
Phone: 601-984-5452    Fax: 601-815-3322
Marcus D Walkinshaw, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5180    
Phillip Blevins, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5180    Fax: 601-984-5183

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