| Brad A Blaker, DO | |
|
50 N Perry St, Pontiac, MI 48342-2217 | |
| (248) 338-5327 | |
| (248) 338-5129 |
| Full Name | Brad A Blaker |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 50 N Perry St, Pontiac, Michigan |
| 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 |
|---|---|---|---|
| 1790769545 | NPI | - | NPPES |
| 4504220 | Medicaid | MI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Bay Region | Bay city, MI | Hospital |
| Flowers Hospital | Dothan, AL | Hospital |
| Harrison County Hospital | Corydon, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Medical Group | 3971416082 | 314 |
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Flowers Hb Medical Services Llc | 6305290990 | 61 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Emergency Department Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad A Blaker, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5327 | Brad A Blaker, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5327 |
Justin Anthony Lane, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Woodlake Ln # 304, Pontiac, MI 48340 Phone: 313-574-8845 | |
Dr. Michael Christopher Dettloff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. William M. Serote, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Nomc Emercency Center, Pontiac, MI 48341 Phone: 248-857-7440 Fax: 248-857-6992 | |
Adam Younes Makki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Dr. Jennifer Ann Freij, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. David Anthony Minter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. Alexander Samuel Madgy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-849-3485 |