| Brett Blakeway, MD | |
|
4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 | |
| (210) 615-1187 | |
| (210) 614-2180 |
| Full Name | Brett Blakeway |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 14 Years |
| Location | 4242 Medical Dr, San Antonio, 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 |
|---|---|---|---|
| 1992099386 | NPI | - | NPPES |
| 3492886-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 28504 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | DR.0059908 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | Q2974 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longs Peak Hospital | Longmont, CO | Hospital |
| Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
| Boulder Valley Anesthesiology, Pllc | 7113830993 | 57 |
| Entity Name | Boulder Valley Anesthesiology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Northern Colorado Anesthesia Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Blakeway, MD Po Box 34717, San Antonio, TX 78265-4717 Ph: (210) 615-1187 | Brett Blakeway, MD 4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 Ph: (210) 615-1187 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |