Alicia Nicole Blakley, DDS | |
8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | |
(414) 760-3900 | |
(414) 464-7258 |
Full Name | Alicia Nicole Blakley |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 8200 W Silver Spring Dr, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609155498 | NPI | - | NPPES |
100029377 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7031-15 (Wisconsin) | Secondary |
1223G0001X | Dentist - General Practice | 7031-15 (Wisconsin) | Primary |
Entity Name | Milwaukee Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518005818 PECOS PAC ID: 7416946884 Enrollment ID: O20040511000114 |
Mailing Address | Practice Location Address |
---|---|
Alicia Nicole Blakley, DDS 430 W Erie St, Ste 200, Chicago, IL 60654-6914 Ph: (920) 838-1649 | Alicia Nicole Blakley, DDS 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 Ph: (414) 760-3900 |
Macaire Claire Hulderman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9000 W. Wisconsin Ave., Milwaukee, WI 53226 Phone: 414-266-2040 Fax: 414-266-5677 | |
Dr. Anne Katherine Press, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5000 National Dr, Milwaukee, WI 53295 Phone: 414-384-2000 | |
Susan Elizabeth Freundl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1308 S Cesar E Chavez Dr, Milwaukee, WI 56204 Phone: 414-383-3220 Fax: 414-383-3363 | |
Dr. Robert Stanley Stemberger, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2015 E Newport Ave, 405, Milwaukee, WI 53211 Phone: 414-963-1127 Fax: 414-963-4011 | |
Dr. David Steffen Koenig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4455 W Bradley Rd, Milwaukee, WI 53223 Phone: 414-354-9600 Fax: 414-355-7698 | |
John Curtis Jurkas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave Ste 210, Milwaukee, WI 53227 Phone: 414-367-6342 | |
Mrs. Manijeh Khorshidi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-4540 |