| Dr Johnathon Blake, MD, MHSA | |
|
10985 Cody St Ste 115, Overland Park, KS 66210-1224 | |
| (816) 444-1777 | |
| (816) 333-3277 |
| Full Name | Dr Johnathon Blake |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 10985 Cody St Ste 115, Overland Park, Kansas |
| 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 |
|---|---|---|---|
| 1487040002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2019034662 (Missouri) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 04-42530 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence Memorial Hospital | Lawrence, KS | Hospital |
| Bates County Memorial Hospital | Butler, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Partners In Rehab Medicine | 3678899242 | 5 |
| Partners In Rehab Medicine | 3678899242 | 5 |
| Entity Name | Partners In Rehab Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578968368 PECOS PAC ID: 3678899242 Enrollment ID: O20150226001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnathon Blake, MD, MHSA 10985 Cody St Ste 115, Overland Park, KS 66210-1224 Ph: (816) 444-1777 | Dr Johnathon Blake, MD, MHSA 10985 Cody St Ste 115, Overland Park, KS 66210-1224 Ph: (816) 444-1777 |
Dr. Michael Jonathan Khadavi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10777 Nall Ave Ste 300, Overland Park, KS 66211 Phone: 913-642-0200 Fax: 913-563-6699 | |
Dr. Lauren Nicole Neuman, DO, MBA Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11325 College Blvd, Overland Park, KS 66210 Phone: 505-382-2776 | |
Dr. Vittoria Costantino, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-296-5000 Fax: 913-296-5093 | |
James Sigler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6650 W 110th St Ste 210, Overland Park, KS 66211 Phone: 913-558-0058 Fax: 913-871-6412 | |
Dr. Ira Hartley Fishman, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10520 Barkley St, Suite 120, Overland Park, KS 66212 Phone: 913-341-0090 Fax: 913-341-0091 | |
Jennifer E. Finley, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10770 El Monte St, Suite 102, Overland Park, KS 66211 Phone: 913-681-1620 Fax: 913-383-1608 | |
Joseph F Galate, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10777 Nall Ave, Suite 120, Overland Park, KS 66211 Phone: 913-387-2800 Fax: 913-387-2970 |