Brett Blakeway, MD | |
4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 | |
(210) 615-1187 | |
(210) 614-2180 |
Full Name | Brett Blakeway |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 4242 Medical Dr, San Antonio, Texas |
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 |
---|---|---|---|
1992099386 | NPI | - | NPPES |
3492886-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 28504 (Oklahoma) | Secondary |
207L00000X | Anesthesiology | Q2974 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longmont United Hospital | Longmont, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
Boulder Valley Anesthesiology, Pllc | 7113830993 | 54 |
Entity Name | Boulder Valley Anesthesiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
Entity Name | Northern Colorado Anesthesia Professionals Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
Entity Name | Us Anesthesia Partners Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
Mailing Address | Practice Location Address |
---|---|
Brett Blakeway, MD Po Box 34717, San Antonio, TX 78265-4717 Ph: (210) 615-1187 | Brett Blakeway, MD 4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 Ph: (210) 615-1187 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |