| Dr Ann Blakley, MD | |
| 
					301 University Blvd, Galveston, TX 77555-4979  | |
| (409) 772-3695 | |
| (832) 340-2350 | 
| Full Name | Dr Ann Blakley | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 301 University Blvd, Galveston, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023063831 | NPI | - | NPPES | 
| 9150513 | Other | TX | CIGNA | 
| 7867011 | Other | TX | AETNA | 
| 8CW743 | Other | TX | BCBS | 
| 286529701 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | N8017 (Texas) | Primary | 
| Entity Name | Utmb Faculty Group Practice | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ann Blakley, MD Po Box 650859, Dept 710, Dallas, TX 75265 Ph: (409) 747-6240  | Dr Ann Blakley, MD 301 University Blvd, Galveston, TX 77555-4979 Ph: (409) 772-3695  | 
Stephanie Therese Chung, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222  | |
Dr. Oscar W. Brown,  Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3303 Fax: 409-747-4995  | |
David P Mccormick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222  | |
Dr. Akila Muthukumar, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222  | |
Dr. Chanthu Pillai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3365 Fax: 409-747-2213  | |
Shivaiah Balachandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222  |