| Blake Dewitt, | |
|
3020 Garrett Dr, Perryton, TX 79070-5322 | |
| (806) 648-9355 | |
| (806) 228-7071 |
| Full Name | Blake Dewitt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 3020 Garrett Dr, Perryton, 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 |
|---|---|---|---|
| 1932511672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4685 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochiltree General Hospital Home Health Care Depart | Perryton, TX | Home health agency |
| Ochiltree General Hospital | Perryton, TX | Hospital |
| Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
| Senior Village Nursing Home | Perryton, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochiltree Hospital District | 0749257723 | 9 |
| Moore County Hospital District | 1254226269 | 35 |
| Entity Name | Moore County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700991700 PECOS PAC ID: 1254226269 Enrollment ID: O20040430000610 |
| Entity Name | Ochiltree Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043362908 PECOS PAC ID: 0749257723 Enrollment ID: O20040910000841 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Dewitt, 3101 Garrett Dr, Perryton, TX 79070-5323 Ph: (806) 435-3606 | Blake Dewitt, 3020 Garrett Dr, Perryton, TX 79070-5322 Ph: (806) 648-9355 |
Dr. Jennifer Theresa Mcgaughy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Garrett Dr, Perryton, TX 79070 Phone: 806-435-3606 Fax: 806-435-2067 | |
Ricky Allen Siewert, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3006 Garrett Dr, Perryton, TX 79070 Phone: 806-435-9626 Fax: 806-435-4175 | |
Rachel O'beirne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Garrett Dr, Perryton, TX 79070 Phone: 316-858-3460 Fax: 806-435-7819 | |
Manon Childers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3101 Garrett Dr, Perryton, TX 79070 Phone: 806-435-3606 Fax: 806-435-2067 | |
Rex L Mann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3019 S Main St, Perryton, TX 79070 Phone: 806-435-7154 Fax: 806-435-6909 |