Andrea Blake, DO | |
4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840-2502 | |
(719) 333-5140 | |
(719) 333-5836 |
Full Name | Andrea Blake |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 17 Years |
Location | 4102 Pinion Dr, Usaf Academy, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952551871 | NPI | - | NPPES |
91585783 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR0052469 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Littleton Adventist Hospital, Centura Health | Littleton, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Emergency Surgeons Pc | 6709213168 | 9 |
Entity Name | Acute Surgical And Trauma Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477660694 PECOS PAC ID: 7012950330 Enrollment ID: O20050608000172 |
Entity Name | Premier Emergency Surgeons Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184262115 PECOS PAC ID: 6709213168 Enrollment ID: O20200224002329 |
Mailing Address | Practice Location Address |
---|---|
Andrea Blake, DO 4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840-2502 Ph: (719) 333-5140 | Andrea Blake, DO 4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840-2502 Ph: (719) 333-5140 |
David Marc Northern, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Dr. Stacy Ann Shackelford, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Jared G. Clay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840 Phone: 719-333-5138 Fax: 719-333-5836 | |
Michelle Buehner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 Phone: 719-333-5140 |