Dr Glenn Koontz Blackburn Jr, MD - Pediatrics in Somerset, KY

Dr Glenn Koontz Blackburn Jr, MD is a Pediatrics - Adolescent Medicine physician based in Somerset, Kentucky. Dr Glenn Koontz Blackburn Jr is licensed to practice in Kentucky (license number 16207) and his current practice location is Children's Clinic, 350 Langdon St., Somerset, Kentucky. He can be reached at his office (for appointments etc.) via phone at (606) 678-8155.

NPI number for Dr Glenn Koontz Blackburn Jr is 1750351037 and his current mailing address is Children's Clinic, 350 Langdon St., Somerset, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750351037.

Contact Information

Dr Glenn Koontz Blackburn Jr, MD
Children's Clinic, 350 Langdon St.,
Somerset, KY 42503
(606) 678-8155
(606) 678-7548



Physician's Profile

Full NameDr Glenn Koontz Blackburn Jr
GenderMale
SpecialityPediatrics - Adolescent Medicine
LocationChildren's Clinic, Somerset, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750351037
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Glenn Koontz Blackburn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750351037NPI-NPPES
64162076MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 16207 (Kentucky)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 Glenn Koontz Blackburn Jr 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 Glenn Koontz Blackburn Jr, MD
Children's Clinic, 350 Langdon St.,
Somerset, KY 42503

Ph: (606) 678-8155
Dr Glenn Koontz Blackburn Jr, MD
Children's Clinic, 350 Langdon St.,
Somerset, KY 42503

Ph: (606) 678-8155

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› Verified 9 days ago


Pediatrics Doctors in Somerset, KY

Cherice K Patterson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Harry Lee Greene, M. D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 205 Waitsboro Dr, Somerset, KY 42503
Phone: 561-317-3387    Fax: 606-451-9728
Rebecca Jeannine Blakley, CPNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Hospital Way Ste 100, Somerset, KY 42503
Phone: 865-207-3466    
Deanna Marie Grubbs, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Dr. Lisette Marie Garrett, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Dr. Sheeba M. Picard, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon Street, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Melissa G Hansford, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Suite 1, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548

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