Anne M Blake, MD | |
11550 Granada St, Leawood, KS 66211-1453 | |
(913) 451-7546 | |
(913) 663-2411 |
Full Name | Anne M Blake |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 13 Years |
Location | 11550 Granada St, Leawood, Kansas |
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 |
---|---|---|---|
1750655585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 125.059721 (Illinois) | Secondary |
207N00000X | Dermatology | 29145 (Oklahoma) | Secondary |
207N00000X | Dermatology | 04-37811 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Skin Cancer Specialists Llc | 5294721486 | 36 |
Entity Name | Dermatology And Skin Cancer Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205880846 PECOS PAC ID: 5294721486 Enrollment ID: O20050721001106 |
Mailing Address | Practice Location Address |
---|---|
Anne M Blake, MD 11550 Granada, Leawood, KS 66206-2325 Ph: (913) 451-7546 | Anne M Blake, MD 11550 Granada St, Leawood, KS 66211-1453 Ph: (913) 451-7546 |
Glenn D Goldstein, MD Dermatology Medicare: Medicare Enrolled Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 | |
Colin A Ruff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada St, Leawood, KS 66211 Phone: 913-451-7546 | |
Mark H Fleischman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 | |
Karen E Neubauer, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 Fax: 913-663-2422 | |
Shawn R Sabin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 | |
James V. Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11301 Nall Ave Ste 205, Leawood, KS 66211 Phone: 913-451-5934 Fax: 913-451-4716 | |
Celeste A Angel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada St, Leawood, KS 66211 Phone: 913-451-7546 Fax: 913-663-2411 |