Mr Douglas U Blank, MD | |
2985 Cortez Ave, Idaho Falls, ID 83404-7554 | |
(208) 523-3373 | |
(208) 523-8746 |
Full Name | Mr Douglas U Blank |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 30 Years |
Location | 2985 Cortez Ave, Idaho Falls, Idaho |
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 |
---|---|---|---|
1871598631 | NPI | - | NPPES |
327497 | Other | BLUE SHIELD | |
805536100 | Medicaid | ID | |
KOO J1338 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | M-7866 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspen Hospice | Idaho falls, ID | Hospice |
Mountain View Hospital | Idaho falls, ID | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
Madison Memorial Hospital | Rexburg, ID | Hospital |
Teton Valley Hospital | Driggs, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton Valley Health Care Inc | 3870744956 | 25 |
Mountain View Hospital Llc | 4486562774 | 188 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Idaho Heart Institute Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477656718 PECOS PAC ID: 8123081239 Enrollment ID: O20041110000072 |
Entity Name | St Marks Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20100316001013 |
Entity Name | Teton Valley Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587 |
Entity Name | Mvh Bmc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
Mailing Address | Practice Location Address |
---|---|
Mr Douglas U Blank, MD 2985 Cortez Ave, Idaho Falls, ID 83404-2985 Ph: (208) 523-3373 | Mr Douglas U Blank, MD 2985 Cortez Ave, Idaho Falls, ID 83404-7554 Ph: (208) 523-3373 |
Dr. Douglas N Whatmore, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Blake Anderson, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2850 | |
Jordan Joseph Cormier, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |