Dr Doreen Blake, MD | |
1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | |
(301) 925-7610 | |
Not Available |
Full Name | Dr Doreen Blake |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | 1450 Mercantile Ln, Largo, Maryland |
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 |
---|---|---|---|
1043209331 | NPI | - | NPPES |
116600000 | Medicaid | MD | |
P01298022 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D39421 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anne Arundel Medical Center | Annapolis, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luminis Health Medical Group, Llc | 2860447315 | 437 |
Entity Name | Luminis Health Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
Mailing Address | Practice Location Address |
---|---|
Dr Doreen Blake, MD P.o. Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6580 | Dr Doreen Blake, MD 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 Ph: (301) 925-7610 |
Dr. Lynn Anetta Thomas, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Rupa Allam Varma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Avenue, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5673 | |
Dr. Nancy Fleurancois, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln Ste 102, Largo, MD 20774 Phone: 301-368-1500 | |
Dr. Cielito M Aguinaldo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Surendra M Kumar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Mercantile Ln, Ste 135, Largo, MD 20774 Phone: 301-773-9700 | |
Dr. Jerry Wendell Mcconnell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 |