Dr Charles Blake, MD | |
6565 E Carondelet Dr Ste 155, Tucson, AZ 85710 | |
(520) 849-8900 | |
(520) 849-7137 |
Full Name | Dr Charles Blake |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 39 Years |
Location | 6565 E Carondelet Dr Ste 155, Tucson, Arizona |
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 |
---|---|---|---|
1851362792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 19358 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Mary's Hospital | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tucson Physician Group Holdings Llc | 0547560070 | 102 |
Entity Name | Tucson Physician Group Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Blake, MD 6565 E Carondelet Dr Ste 155, Tucson, AZ 85710-3587 Ph: (520) 849-8900 | Dr Charles Blake, MD 6565 E Carondelet Dr Ste 155, Tucson, AZ 85710 Ph: (520) 849-8900 |
Tiffany Tan Sison, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 | |
Jennie Ellen, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4600 S Park Ave, Tucson, AZ 85714 Phone: 520-889-9574 Fax: 520-889-5072 | |
Dr. Ashton Fitzgerald, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-4551 | |
Bridgette Darton, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1777 W Saint Marys Rd, Tucson, AZ 85745 Phone: 520-884-9819 Fax: 520-884-0175 | |
Jimmy Sapp, LMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6522 E Carondelet Dr Ste C, Tucson, AZ 85710 Phone: 549-802-8787 | |
Jeet Bhaidasna, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2650 N Wyatt Dr, Tucson, AZ 85712 Phone: 516-712-7650 | |
Ms. Jill Floryance, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4821 N Stone Ave, Tucson, AZ 85704 Phone: 520-314-3300 |