| Mr Douglas U Blank, MD | |
|
2985 Cortez Ave, Idaho Falls, ID 83404-7554 | |
| (208) 523-3373 | |
| (208) 523-8746 |
| Full Name | Mr Douglas U Blank |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 31 Years |
| Location | 2985 Cortez Ave, Idaho Falls, Idaho |
| 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 |
|---|---|---|---|
| 1871598631 | NPI | - | NPPES |
| 327497 | Other | BLUE SHIELD | |
| 805536100 | Medicaid | ID | |
| KOO J1338 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | M-7866 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspen Home Health Services | Idaho falls, ID | Home health agency |
| Aspen Hospice | Idaho falls, ID | Hospice |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Teton Valley Hospital | Driggs, ID | Hospital |
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Teton Valley Health Care Inc | 3870744956 | 31 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Idaho Heart Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477656718 PECOS PAC ID: 8123081239 Enrollment ID: O20041110000072 |
| Entity Name | St Marks Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20100316001013 |
| Entity Name | Teton Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587 |
| Entity Name | Mvh Bmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas U Blank, MD 2985 Cortez Ave, Idaho Falls, ID 83404-2985 Ph: (208) 523-3373 | Mr Douglas U Blank, MD 2985 Cortez Ave, Idaho Falls, ID 83404-7554 Ph: (208) 523-3373 |
Dr. Douglas N Whatmore, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Janet Lynn Otto, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 | |
Jordan Joseph Cormier, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |