Channa Blakely, in Galveston, TX

Channa Blakely, is a medicare enrolled "Surgery - Vascular Surgery" physician in Galveston, Texas. Her current practice location is 301 University Blvd, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 772-0531.

Channa Blakely is licensed to practice in Texas (license number U9211) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275190084.

Contact Information

	Channa Blakely,
	301 University Blvd, Galveston, TX 77555-0534
	(409) 772-0531
	Not Available

Map and Direction

Physician's Profile

Full Name	Channa Blakely
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	301 University Blvd, Galveston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275190084
Provider Enumeration Date: 05/28/2019
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1355675265
Enrollment ID: I20240807000201

Medical Identifiers

Medical identifiers for Channa Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275190084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	U9211 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Channa Blakely allows following entities to bill medicare on her behalf.

Entity Name	Utmb Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Channa Blakely is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Channa Blakely, 301 University Blvd, Galveston, TX 77555-0534 Ph: (409) 772-0531	Channa Blakely, 301 University Blvd, Galveston, TX 77555-0534 Ph: (409) 772-0531

Reviews and Comments

Surgery Doctors in Galveston, TX

Dr. Jennifer Ann Minneman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-4456
Danielle Rogan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8119
Dr. Ravi Radhakrishnan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-5666 Fax: 409-772-4253
Mohammadali Mohajel Shoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1369
Joseph Patrick Kearney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222
Carlos Gabriel Chavez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531 Fax: 409-772-0557
Juliano Lentz Carvalho, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531

Channa Blakely, - Medicare Surgery in Galveston, TX