| Edgar R Blecker Md Pa | |
|
229 Sebastian Boulevard Sebastian FL 32958 | |
| (772) 581-0016 | |
| (772) 581-1198 |
| Full Name | Edgar R Blecker Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 229 Sebastian Boulevard, Sebastian, Florida |
| Authorized Official Name and Position | Edgar Rene Blecker (PRESIDENT) |
| Authorized Official Contact | 7725810016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar R Blecker Md Pa 229 Sebastian Boulevard Sebastian FL 32958 Ph: (772) 581-0016 | Edgar R Blecker Md Pa 229 Sebastian Boulevard Sebastian FL 32958 Ph: (772) 581-0016 |
| NPI Number | 1871528562 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 6608860721 |
|---|---|
| Medicare Enrollment ID | O20040412001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871528562 | NPI | - | NPPES |
| 0095910 | Other | FL | WELLMED |
| 35392 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| DB1340 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME78368 (Florida) | Primary |
| Provider Name | Edgar R Blecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388100 PECOS PAC ID: 8123012259 Enrollment ID: I20040413000480 |
| Provider Name | Laura M Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043571813 PECOS PAC ID: 8426206582 Enrollment ID: I20120913000759 |
| Provider Name | Bethany J Silvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982089090 PECOS PAC ID: 2365752177 Enrollment ID: I20151106001693 |
| Provider Name | Edgar Rene Blecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134616949 PECOS PAC ID: 5395097943 Enrollment ID: I20210922001872 |
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