| 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  |