| Sally Ann Blaine, MD | |
|
4520 Union Deposit Rd, Harrisburg, PA 17111-2910 | |
| (717) 531-4094 | |
| (717) 531-0136 |
| Full Name | Sally Ann Blaine |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 4520 Union Deposit Rd, Harrisburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1841637824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD464188 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Reading, PA | Hospital |
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | 3870405483 | 1457 |
| Allegheny Clinic Radiology | 8426364738 | 153 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| Entity Name | Allegheny Clinic Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992183164 PECOS PAC ID: 8426364738 Enrollment ID: O20150901003142 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Ann Blaine, MD Po Box 848, Hershey, PA 17033-0848 Ph: (717) 531-4094 | Sally Ann Blaine, MD 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 Ph: (717) 531-4094 |
David Choi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-531-4094 Fax: 717-531-0136 | |
Christopher Haskins, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Brian P Bloom, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-6105 Fax: 717-652-8152 | |
Dr. David C Weksberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Abimbola O Orisamolu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Mark R Labuski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4518 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-5840 Fax: 717-652-8152 | |
Dean M Brockmole, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4518 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-5840 Fax: 717-652-8152 |