Gregary M Blackner, MD | |
1617 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437 | |
(801) 682-8190 | |
(801) 214-1875 |
Full Name | Gregary M Blackner |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 38 Years |
Location | 1617 Summit Lake Shore Rd Nw, Olympia, Washington |
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 |
---|---|---|---|
1316050602 | NPI | - | NPPES |
8455420 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00026210 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympia Orthopaedic Associates Pllc | 2365337508 | 80 |
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Olympia Orthopaedic Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083785398 PECOS PAC ID: 2365337508 Enrollment ID: O20040217001032 |
Mailing Address | Practice Location Address |
---|---|
Gregary M Blackner, MD Po Box 721, Kaysville, UT 84037-0721 Ph: (801) 682-8190 | Gregary M Blackner, MD 1617 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437 Ph: (801) 682-8190 |
Amihan A Ferrer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Michael W Balfe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Terry Rice, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Gordon Wheat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Mr. Aaron J. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 | |
Bahram Badri, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Kelvie A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-7230 Fax: 360-493-4180 |