James Phillip Blakely, MD | |
529 N Galloway Ave, Suite 16, Mesquite, TX 75149-3420 | |
(972) 216-4411 | |
(972) 216-0533 |
Full Name | James Phillip Blakely |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 529 N Galloway Ave, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962499152 | NPI | - | NPPES |
300126786 | Other | TX | RAILROAD MEDICARE |
8G2805 | Other | TX | BC BS TEXAS |
B011 | Other | TX | CHAMPUS |
116861904 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E9544 (Texas) | Primary |
Entity Name | Southwest Medical Imaging Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716 |
Mailing Address | Practice Location Address |
---|---|
James Phillip Blakely, MD Po Box 180065, Dallas, TX 75218-0065 Ph: (972) 216-4411 | James Phillip Blakely, MD 529 N Galloway Ave, Suite 16, Mesquite, TX 75149-3420 Ph: (972) 216-4411 |
James Angelo Summa, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 529 N Galloway Ave, Suite 16, Mesquite, TX 75149 Phone: 972-216-4411 Fax: 972-216-7346 | |
Solomon Martin Bierman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3500 East I-30, Mesquite, TX 75150 Phone: 972-698-3000 Fax: 972-698-2030 | |
Dr. Michela Caruso, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4700 N Galloway Ave, Mesquite, TX 75150 Phone: 972-686-6411 Fax: 972-686-0594 | |
Dr. Eric Norman Kinn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 529 N Galloway Ave, Suite 16, Mesquite, TX 75149 Phone: 972-216-4411 Fax: 972-216-7346 | |
Dale Christian Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 529 N Galloway Ave, Suite 16, Mesquite, TX 75149 Phone: 972-216-4411 Fax: 972-216-7346 | |
Richard Steven Rome, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1011 N Galloway, Radiology Department, Mesquite, TX 75149 Phone: 214-320-7000 Fax: 903-663-7394 | |
Rebhi A Awad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1011 N Galloway Ave, Mesquite, TX 75149 Phone: 214-320-7008 Fax: 972-480-9024 |