| Kent William Blakely, MD | |
|
610 Nw 11th St, Hermiston, OR 97838-6601 | |
| (541) 667-3887 | |
| (458) 219-3129 |
| Full Name | Kent William Blakely |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 38 Years |
| Location | 610 Nw 11th St, Hermiston, Oregon |
| 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 |
|---|---|---|---|
| 1134222458 | NPI | - | NPPES |
| MED-PHYS-COM-LIC-112 | Other | MT | STATE LICENSE |
| MD60640236 | Other | WA | STATE LICENSE |
| MD042525L | Other | PA | STATE LICENSE |
| MD229796 | Other | OR | OREGON STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| Kadlec Regional Medical Center | 9739098617 | 402 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent William Blakely, MD 610 Nw 11th St, Hermiston, OR 97838-6601 Ph: (541) 667-3887 | Kent William Blakely, MD 610 Nw 11th St, Hermiston, OR 97838-6601 Ph: (541) 667-3887 |
Joyce Michelle Koh, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M206, Hermiston, OR 97838 Phone: 541-667-3804 Fax: 541-667-0192 |
Edward A Ricketts, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 11th St, Suite109, Hermiston, OR 97838 Phone: 541-567-5075 |
Robert A Wohlman, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M206, Hermiston, OR 97838 Phone: 541-667-3804 Fax: 541-667-0192 |
Dr. David Andrew Stenstrom, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3680 |
Dr. Courtney Rae Virgilio, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M201, Hermiston, OR 97838 Phone: 541-667-3771 Fax: 541-303-8457 |
Dr. Brian Timothy Larsen, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-303-8767 |
Barbara L Atwood, MD LLC Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838 Phone: 541-667-3797 Fax: 541-303-8767 |