| F Douglas Blazek, MD | |
|
1814 Westchester Drive, Suite 101, High Point, NC 27262-7369 | |
| (336) 802-2150 | |
| (336) 802-2151 |
| Full Name | F Douglas Blazek |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1814 Westchester Drive, High Point, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912938010 | NPI | - | NPPES |
| 020031208 | Other | NC | RR MEDICARE |
| 8916299 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 32221 (North Carolina) | Primary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Wake Forest Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Mailing Address | Practice Location Address |
|---|---|
| F Douglas Blazek, MD 1701 Westchester Drive, Suite 850, High Point, NC 27262-7254 Ph: (336) 802-2400 | F Douglas Blazek, MD 1814 Westchester Drive, Suite 101, High Point, NC 27262-7369 Ph: (336) 802-2150 |
Kenneth Castles Shull, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1814 Westchester Drive, Suite 101, High Point, NC 27262 Phone: 336-802-2150 Fax: 336-802-2151 | |
Lawrence Dale Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 319 Westwood Ave, Lower Level, High Point, NC 27262 Phone: 336-878-3419 Fax: 336-878-6420 | |
Mohamed-omar Arafeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 N Elm St, High Point, NC 27262 Phone: 336-905-6060 | |
Dr. Kenneth Charles Gracz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1945 Eastchester Dr Unit A, High Point, NC 27265 Phone: 336-887-1125 | |
Gary Leroy Biesecker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1814 Westchester Drive, Suite 101, High Point, NC 27262 Phone: 336-802-2150 Fax: 336-802-2151 | |
Mark Arredondo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 404 Westwood Ave, Ste. 303, High Point, NC 27262 Phone: 336-905-6060 Fax: 336-905-6061 |