Nicholas Zoltan Blake, MD | |
76 Ne 12th St, Madras, OR 97741-1827 | |
(406) 258-4789 | |
(406) 258-4732 |
Full Name | Nicholas Zoltan Blake |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 76 Ne 12th St, Madras, Oregon |
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 |
---|---|---|---|
1811300999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD184258 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Madras | Madras, OR | Hospital |
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madras Medical Group Pc | 5597758102 | 5 |
Entity Name | Madras Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768533 PECOS PAC ID: 5597758102 Enrollment ID: O20040407001171 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Zoltan Blake, MD 2385 Ne Hilltop Ln, Madras, OR 97741-8733 Ph: (406) 258-4789 | Nicholas Zoltan Blake, MD 76 Ne 12th St, Madras, OR 97741-1827 Ph: (406) 258-4789 |
William P Irvine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Ne A St, Madras, OR 97741 Phone: 541-475-4800 Fax: 541-475-4805 | |
Dr. Leonard Dewitt Savage, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Ne A St, Madras, OR 97741 Phone: 541-475-4800 Fax: 541-475-4805 | |
Dr. Gary M Plant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 | |
Dr. Thomas Martin Manning, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 | |
Kim Ray Montee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Sw 4th St Ste 101, Madras, OR 97741 Phone: 541-475-7800 Fax: 541-383-1883 | |
Dr. Leland Phillips Beamer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 | |
Dr. Jinnell Ann Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Ne A St, Madras, OR 97741 Phone: 541-475-4800 |