Dr Paul Maxwell Blake Iii, MD | |
2900 1st Ave, Huntington, WV 25702-1241 | |
(304) 399-7484 | |
(304) 399-7579 |
Full Name | Dr Paul Maxwell Blake Iii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2900 1st Ave, Huntington, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366470148 | NPI | - | NPPES |
105606 | Other | PA | MEDICARE |
2341602 | Medicaid | OH | |
181232700 | Medicaid | WV | |
1017240800001 | Medicaid | PA | |
1896405 | Other | PA | HIGHMARK |
64073695 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD429954 (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | 20938 (West Virginia) | Primary |
Entity Name | Hospitalist Medicine Physicians Of West Virginia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157 |
Entity Name | Allied West Virginia Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514 |
Entity Name | Racine Observation Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Maxwell Blake Iii, MD Po Box 88, 5 E Alvon Road Suite 7, White Sulphur Springs, WV 24986-2373 Ph: (304) 536-5030 | Dr Paul Maxwell Blake Iii, MD 2900 1st Ave, Huntington, WV 25702-1241 Ph: (304) 399-7484 |
Leonard White, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Donohoe Dr, Huntington, WV 25705 Phone: 304-399-3310 | |
Amina Awan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 043-996-7273 Fax: 304-399-6726 | |
George J Linsenmeyer Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1249 15th St Ste 4000, Huntington, WV 25701 Phone: 304-691-8500 | |
Maria Gracia Luzuriaga Bassante, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1249 15th St Ste 3000, Huntington, WV 25701 Phone: 304-691-1000 | |
Dr. Everett B Wray Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1249 15th Street, Suite 4000, Huntington, WV 25701 Phone: 304-691-8500 Fax: 304-691-8510 | |
Mustafa Awili, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Room 1025, Huntington, WV 25702 Phone: 304-399-7484 Fax: 304-399-7579 | |
Helgi K Sigmundsson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5170 Us Rt 60 East, Huntington, WV 25705 Phone: 304-528-4600 |