| Dr Blake Allen Umberham, DO | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 273-3000 | |
| Not Available |
| Full Name | Dr Blake Allen Umberham |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1669979605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 71342 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Cities Anesthesia Associates Pc | 9133491194 | 61 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Entity Name | Twin Cities Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982125456 PECOS PAC ID: 9133491194 Enrollment ID: O20170825001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Allen Umberham, DO 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: () - | Dr Blake Allen Umberham, DO 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 273-3000 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Vinod Kumar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 | |
Kenneth M Kiberenge, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 Phone: 612-624-2497 |