| Kevin Blau, DO | |
|
719 Okatie Hwy, Okatie, SC 29909-3963 | |
| (843) 987-7400 | |
| Not Available |
| Full Name | Kevin Blau |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 7 Years |
| Location | 719 Okatie Hwy, Okatie, South Carolina |
| 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 |
|---|---|---|---|
| 1356724025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 83055 (South Carolina) | Primary |
| 208D00000X | General Practice | 5101022071 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services Inc | 5597675728 | 35 |
| Entity Name | Obhg South Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538457361 PECOS PAC ID: 7012182504 Enrollment ID: O20111212000681 |
| Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Blau, DO Po Box 357, Ridgeland, SC 29936-2605 Ph: (843) 987-7400 | Kevin Blau, DO 719 Okatie Hwy, Okatie, SC 29909-3963 Ph: (843) 987-7400 |
Dr. George J Amonitti, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Highway, Okatie, SC 29909 Phone: 843-987-7400 |