| Dr Doreen Blake, MD | |
|
1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | |
| (301) 925-7610 | |
| Not Available |
| Full Name | Dr Doreen Blake |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1450 Mercantile Ln, Largo, Maryland |
| 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 |
|---|---|---|---|
| 1043209331 | NPI | - | NPPES |
| 116600000 | Medicaid | MD | |
| P01298022 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D39421 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Revival Homecare Agency | Upper marlboro, MD | Home health agency |
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Doctors' Community Hospital | Lanham, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Doreen Blake, MD P.o. Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6580 | Dr Doreen Blake, MD 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 Ph: (301) 925-7610 |
Dr. Lynn Anetta Thomas, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Rupa Allam Varma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Avenue, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5673 | |
Gloimai Ari'elle Adivi, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 | |
Nancy Fleurancois, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln Ste 102, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Cielito M Aguinaldo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Surendra M Kumar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Mercantile Ln, Ste 135, Largo, MD 20774 Phone: 301-773-9700 |