Marilyn Blackston Md, MD in Baltimore, MD - General Practice

Marilyn Blackston Md, MD is a General Practice physician based in Baltimore, Maryland. Marilyn Blackston Md is licensed to practice in Maryland (license number D0031470) and her current practice location is 3655 Old Court Rd, Suite 7, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at (443) 431-3208.

NPI number for Marilyn Blackston Md is 1508356866 and her current mailing address is 3409 Wild Cherry Rd., Baltimore, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508356866.

Contact Information

	Marilyn Blackston Md, MD
	3655 Old Court Rd, Suite 7, Baltimore, MD 21208
	(443) 431-3208
	Not Available

Physician's Profile

Full Name	Marilyn Blackston Md
Gender	Female
Speciality	General Practice
Location	3655 Old Court Rd, Baltimore, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508356866
Provider Enumeration Date: 05/12/2018
Last Update Date: 05/12/2018

Medical Identifiers

Medical identifiers for Marilyn Blackston Md such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508356866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	D0031470 (Maryland)	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. Marilyn Blackston Md 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 Address	Practice Location Address
Marilyn Blackston Md, MD 3409 Wild Cherry Rd., Baltimore, MD 21244 Ph: (443) 431-3208	Marilyn Blackston Md, MD 3655 Old Court Rd, Suite 7, Baltimore, MD 21208 Ph: (443) 431-3208

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Marilyn Blackston Md, MD - General Practice in Baltimore, MD