| Kyle Matthew Blake, MD | |
|
102 Decker Ct, Suite 205, Irving, TX 75062-2740 | |
| (972) 906-6250 | |
| Not Available |
| Full Name | Kyle Matthew Blake |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 102 Decker Ct, Irving, Texas |
| 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 |
|---|---|---|---|
| 1770741977 | NPI | - | NPPES |
| 341545705 | Medicaid | TX | |
| Q1362 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | Q1362 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor University Medical Center | Dallas, TX | Hospital |
| Texas Health Presbyterian Hospital Rockwall | Rockwall, TX | Hospital |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Radiology Consultants Pllc | 6709868409 | 115 |
| Entity Name | American Radiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425195 PECOS PAC ID: 6709868409 Enrollment ID: O20070301000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Matthew Blake, MD 102 Decker Ct, Suite 205, Irving, TX 75062-2740 Ph: (972) 906-6250 | Kyle Matthew Blake, MD 102 Decker Ct, Suite 205, Irving, TX 75062-2740 Ph: (972) 906-6250 |
Thomas Joe, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3909 Acapulco St, Irving, TX 75062 Phone: 972-383-9107 | |
David Lawrence Klamer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2000 | |
Mark S Girson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8700 | |
Dr. H Stuart Peake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 102 Decker Ct, Suite 205, Irving, TX 75062 Phone: 972-906-6250 Fax: 972-906-0116 | |
Dr. James Newton Camak Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Acapulco Ct, Irving, TX 75062 Phone: 972-717-6775 | |
Mark D Meiches, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8700 | |
John David Burgardt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8700 |