| Dr Andrea Michelle Keller Blazic, DO | |
|
2265 Exchange St, Astoria, OR 97103-3331 | |
| (503) 338-7595 | |
| (503) 325-4905 |
| Full Name | Dr Andrea Michelle Keller Blazic |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 2265 Exchange St, Astoria, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629236146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | DO192445 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 3870402852 | 164 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Entity Name | Obhg Oregon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528585148 PECOS PAC ID: 2365776390 Enrollment ID: O20190626000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Michelle Keller Blazic, DO 2111 Exchange St, Astoria, OR 97103-3329 Ph: (503) 325-4321 | Dr Andrea Michelle Keller Blazic, DO 2265 Exchange St, Astoria, OR 97103-3331 Ph: (503) 338-7595 |
Robert Park, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 | |
Dr. Sarah H Humphrey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 | |
Kellie Wilson Edwards, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 | |
Kimberly Sue Eltzroth, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 441 30th St, Astoria, OR 97103 Phone: 503-325-7800 Fax: 557-077-5848 | |
Fatima Abdulai Van Dusen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2200 Exchange St, Astoria, OR 97103 Phone: 503-741-1199 Fax: 503-457-5400 | |
Rebecca Joann Josephson, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 |