| Emily Dawn Blake, MSN, APRN, FNP-C | |
|
13852 Us Highway 160, Forsyth, MO 65653-5156 | |
| (417) 546-3500 | |
| (417) 546-3343 |
| Full Name | Emily Dawn Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 13852 Us Highway 160, Forsyth, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760130355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022002790 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skaggs Community Hospital Association | 5092624320 | 132 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423683 PECOS PAC ID: 5092624320 Enrollment ID: O20040811000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Dawn Blake, MSN, APRN, FNP-C Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 730-6430 | Emily Dawn Blake, MSN, APRN, FNP-C 13852 Us Highway 160, Forsyth, MO 65653-5156 Ph: (417) 546-3500 |
Kayla M Jenkins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 Fax: 417-546-4505 | |
Michele Depalma, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 Fax: 417-546-4505 | |
Sheila Louise Wyman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10726 State Highway 76, Ste G, Forsyth, MO 65653 Phone: 417-546-2590 Fax: 417-546-2594 | |
Jordyn R Custer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 | |
Mrs. Linda J Mckinney, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 Fax: 417-546-4505 | |
Mrs. Stephanie Marie Wood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13852 Us Highway 160, Forsyth, MO 65653 Phone: 417-546-4500 Fax: 417-546-3343 | |
Leah Grubbs, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 256 State Highway Y, Forsyth, MO 65653 Phone: 417-546-4200 |