Mr Douglas Alan Blazer, PA in Rockford, IL - Medicare Physician Assistant

Mr Douglas Alan Blazer, PA is a medicare enrolled "Physician Assistant - Medical" in Rockford, Illinois. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Physicians Immediate Care Ltd. and his current practice location is 3475 S Alpine Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 874-8000.

Mr Douglas Alan Blazer is licensed to practice in Illinois (license number 085004130) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104101823.

Contact Information

	Mr Douglas Alan Blazer, PA
	3475 S Alpine Rd, Rockford, IL 61109-2604
	(815) 874-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Alan Blazer
Gender	Male
Speciality	Physician Assistant
Experience	21 Years
Location	3475 S Alpine Rd, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Douglas Alan Blazer graduated from nursing school in 2003

NPI Data:

NPI Number: 1104101823
Provider Enumeration Date: 10/13/2011
Last Update Date: 10/13/2011

Medicare PECOS Information:

PECOS PAC ID: 9638344930
Enrollment ID: I20111215000394

Medical Identifiers

Medical identifiers for Mr Douglas Alan Blazer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104101823	NPI	-	NPPES
085004130	Other	IL	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085004130 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Immediate Care Ltd.	4486568813	48

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Alan Blazer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Douglas Alan Blazer, PA 3475 S Alpine Rd, Rockford, IL 61109-2604 Ph: (815) 874-8000	Mr Douglas Alan Blazer, PA 3475 S Alpine Rd, Rockford, IL 61109-2604 Ph: (815) 874-8000

Reviews and Comments

Physician Assistant Nurses in Rockford, IL

Ellissa A Schwartz, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6830 Villagreen Vw, Rockford, IL 61107 Phone: 815-282-1339 Fax: 815-282-1298
Alexander Whitney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 Featherstone Rd Ste C, Rockford, IL 61107 Phone: 815-227-1055 Fax: 815-227-1006
Veronica Newburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E State St, Rockford, IL 61104 Phone: 815-201-1970
Mrs. Katie Michelle Rose, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1639 N Alpine Rd Ste 360, Rockford, IL 61107 Phone: 815-229-9333
Michael Murphy Weedman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498
Gordon Eggers, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Erin Ashleigh Langguth, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881

Mr Douglas Alan Blazer, PA - Medicare Physician Assistant in Rockford, IL