Andrew Joseph Blaes, NP | |
3105 Mcclelland Blvd., Joplin, MO 64804-1640 | |
(417) 347-5400 | |
Not Available |
Full Name | Andrew Joseph Blaes |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 3105 Mcclelland Blvd., Joplin, Missouri |
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 |
---|---|---|---|
1659763993 | NPI | - | NPPES |
53-77168-032 | Other | KS | KANSAS NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2015005447 (Missouri) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 2015005447 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Susan B Allen Memorial Hospital | El dorado, KS | Hospital |
Lake Regional Health System | Osage beach, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Regional Health System | 9133026776 | 80 |
Susan B Allen Memorial Hospital | 7719898980 | 18 |
Entity Name | Lake Regional Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Mailing Address | Practice Location Address |
---|---|
Andrew Joseph Blaes, NP Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-4662 | Andrew Joseph Blaes, NP 3105 Mcclelland Blvd., Joplin, MO 64804-1640 Ph: (417) 347-5400 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 | |
Jessica Calista Holly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 W 32nd St, Joplin, MO 64804 Phone: 417-347-6737 |