Blaine Brown, MD | |
2101 N Waterman Ave, San Bernardino, CA 92404-4836 | |
(909) 883-8711 | |
Not Available |
Full Name | Blaine Brown |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 2101 N Waterman Ave, San Bernardino, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689692774 | NPI | - | NPPES |
P00611233 | Other | RR | |
00A966420 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 179635-1205 (Utah) | Primary |
207L00000X | Anesthesiology | A96642 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nph Anesthesia Of Utah Llc | 9537584313 | 94 |
Entity Name | Lone Peak Anesthesia Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083622641 PECOS PAC ID: 9436057346 Enrollment ID: O20031229000973 |
Entity Name | Rocky Mountain Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170 |
Entity Name | North Valley Anesthesia, Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780908152 PECOS PAC ID: 9133315252 Enrollment ID: O20101201000020 |
Entity Name | Nph Anesthesia Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Mailing Address | Practice Location Address |
---|---|
Blaine Brown, MD 3824 Riverwood Dr, Provo, UT 84604-6094 Ph: (800) 883-7243 | Blaine Brown, MD 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711 |
Dr. Sakorn Koonopakarn, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 | |
Antonio Moreno, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Dr. Samuel J Roth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Dr. Benjamin Franklin Davis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 | |
Dr. Roman Trochanowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Smita Jayprakash Shah, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-9565 | |
Dr. Mrunal Bhatt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 800-883-7243 |