Dr Susan L Blakley, MD | |
200 Exempla Cir, Lafayette, CO 80026-3370 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Susan L Blakley |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 200 Exempla Cir, Lafayette, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316932387 | NPI | - | NPPES |
01368711 | Medicaid | CO | |
017468 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36871 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan L Blakley, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Susan L Blakley, MD 200 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545 |
Dr. Samer K Khodor, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 720-536-6450 | |
Dr. Heather A Raff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Cristina Fernandez Conklin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Amy N Duckro, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Austin J Lammers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-724-6031 | |
Laurence J Connors, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Michael Richard Benoit, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 967 Stagecoach Dr, Lafayette, CO 80026 Phone: 405-408-9008 |