Dr Charles Adams Blakely, MD - Emergency Medicine in Fort Defiance, AZ

Dr Charles Adams Blakely, MD is a Emergency Medicine physician based in Fort Defiance, Arizona. Dr Charles Adams Blakely is licensed to practice in Colorado (license number 22395) and his current practice location is Fort Defiance Indian Hospital, Corner Route N7 And N12, Fort Defiance, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 729-8600.

NPI number for Dr Charles Adams Blakely is 1427119502 and his current mailing address is 3437 Calle Suenos Se, Rio Rancho, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427119502.

Contact Information

Dr Charles Adams Blakely, MD
Fort Defiance Indian Hospital, Corner Route N7 And N12,
Fort Defiance, AZ 86504
(928) 729-8600
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles Adams Blakely
GenderMale
SpecialityEmergency Medicine
LocationFort Defiance Indian Hospital, Fort Defiance, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427119502
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Charles Adams Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427119502NPI-NPPES
000R4843OtherNMNM MED
638679OtherAZAHCCCS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 22395 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Adams Blakely is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Adams Blakely, MD
3437 Calle Suenos Se,
Rio Rancho, NM 87124-6712

Ph: (505) 896-4093
Dr Charles Adams Blakely, MD
Fort Defiance Indian Hospital, Corner Route N7 And N12,
Fort Defiance, AZ 86504

Ph: (928) 729-8600

Reviews and Comments


Emergency Medicine Doctors in Fort Defiance, AZ

Dr. Romulo Laureta Parungao, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Dr. Tyrone Harold Walker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Dr. Brian Ezar Cooper, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Rt N7 And N12, Fort Defiance, AZ 86504
Phone: 928-729-8600    Fax: 928-729-8624
Samuel Bryan Wood,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Elyssa Berg,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8600    
Dr. Scott A Kelso, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Dr. Shannon Reynolds, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8132    

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