| Dr Garrett Blundell, DDS, MD | |
|
1505 Emerald Plz, College Station, TX 77845-1501 | |
| (979) 764-7101 | |
| (979) 764-7115 |
| Full Name | Dr Garrett Blundell |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 18 Years |
| Location | 1505 Emerald Plz, College Station, Texas |
| 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 |
|---|---|---|---|
| 1891044012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24945 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brazos Valley Oms Pllc | 3173943651 | 5 |
| Entity Name | Brazos Valley Oms Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194931303 PECOS PAC ID: 3173943651 Enrollment ID: O20201022000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garrett Blundell, DDS, MD 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101 | Dr Garrett Blundell, DDS, MD 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101 |
Emmanuel Sackey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 979-599-5554 | |
Dr. Monica D Brown, DDS Dentist Medicare: Medicare Enrolled Practice Location: 122 Walton Dr, College Station, TX 77840 Phone: 979-696-8594 Fax: 979-764-6677 | |
Dr. Charles Calvin Hanley, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 1505 Emerald Plz, College Station, TX 77845 Phone: 979-764-7101 Fax: 979-764-7115 | |
Dr. Jay M Erickson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1275 Arrington Rd Ste 101, College Station, TX 77845 Phone: 979-321-5300 | |
Mustafa Aldabbagh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 346-247-1277 | |
Dr. Nathan Allen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11671 Fm 2154 Rd Ste 400, College Station, TX 77845 Phone: 979-399-5101 | |
Dr. Chase Ribordy, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1550 Copperfield Pkwy Ste 2, College Station, TX 77845 Phone: 979-260-2626 |