| Keiva L Bland, MD | |
|
12623 Eckel Junction Rd St 2600, Perrysburg, OH 43551-1310 | |
| (567) 368-1490 | |
| (567) 368-1478 |
| Full Name | Keiva L Bland |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 12623 Eckel Junction Rd St 2600, Perrysburg, Ohio |
| 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 |
|---|---|---|---|
| 1467540732 | NPI | - | NPPES |
| P00375089 | Other | AR | RAILROAD MEDICARE |
| 163267001 | Medicaid | AR | |
| 06090017100 | Other | AR | QUALCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-4903 (Arkansas) | Secondary |
| 208600000X | Surgery | 35148075 (Ohio) | Primary |
| 208600000X | Surgery | 4301076706 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 309 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Keiva L Bland, MD 12623 Eckel Junction Rd Ste 2600, Perrysburg, OH 43551-1304 Ph: (567) 368-1490 | Keiva L Bland, MD 12623 Eckel Junction Rd St 2600, Perrysburg, OH 43551-1310 Ph: (567) 368-1490 |
Dr. Constance P Cashen, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551 Phone: 419-724-4777 Fax: 419-724-4776 | |
Dr. Bettina Isabelle Nazemi, D.O, M.P.H. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551 Phone: 419-724-4777 Fax: 419-724-4776 | |
Dr. Rodolfo Jason Canos Iv, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd Ste 2800, Perrysburg, OH 43551 Phone: 419-724-4777 Fax: 419-724-4776 | |
Zachary Patterson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd # 2800, Perrysburg, OH 43551 Phone: 419-724-4777 Fax: 419-724-4776 |