| Dennis N Blake, MD | |
|
425 W Jackson St, Piggott, AR 72454-1538 | |
| (870) 598-2236 | |
| (870) 598-3080 |
| Full Name | Dennis N Blake |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 425 W Jackson St, Piggott, Arkansas |
| 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 |
|---|---|---|---|
| 1720095599 | NPI | - | NPPES |
| 141033001 | Medicaid | AR | |
| 205038201 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E2311 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piggott Community Hospital | Piggott, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| General Baptist Nursing Home Of Piggott | Piggott, AR | Nursing home |
| Rector Nursing And Rehab | Rector, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Health Group, Inc | 7315844586 | 18 |
| Entity Name | Piggott Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871555185 PECOS PAC ID: 0345140448 Enrollment ID: O20040113000615 |
| Entity Name | Doctors Health Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225091176 PECOS PAC ID: 7315844586 Enrollment ID: O20040204000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis N Blake, MD 425 W Jackson St, Piggott, AR 72454-1538 Ph: (870) 598-2236 | Dennis N Blake, MD 425 W Jackson St, Piggott, AR 72454-1538 Ph: (870) 598-2236 |
James G Sheridan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 425 W Jackson St, Piggott, AR 72454 Phone: 870-598-2236 Fax: 870-598-3080 | |
Gregory Wayne Mallard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 W Jackson St, Piggott, AR 72454 Phone: 870-598-2236 Fax: 870-598-3080 | |
Dr. Jt Dewitt Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1206 Gordon Duckworth Dr, Piggott, AR 72454 Phone: 870-598-3881 Fax: 870-598-5716 |