| Samuel S Blake, MD | |
|
98 N 1100 E Ste 101, American Fork, UT 84003-2940 | |
| (801) 492-2550 | |
| (801) 492-2576 |
| Full Name | Samuel S Blake |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 98 N 1100 E Ste 101, American Fork, Utah |
| 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 |
|---|---|---|---|
| 1518194687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60243907 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 8631872-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Utah Valley Hospital | Provo, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel S Blake, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 492-2550 | Samuel S Blake, MD 98 N 1100 E Ste 101, American Fork, UT 84003-2940 Ph: (801) 492-2550 |
Michael L Cosgrave, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003 Phone: 801-855-3844 Fax: 801-855-3854 | |
Douglas R Mower, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003 Phone: 801-855-3841 Fax: 801-855-3847 | |
Dean Ross Cranney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1062 E 220 S, American Fork, UT 84003 Phone: 801-457-6503 Fax: 801-640-7519 | |
Kenneth Joe Murdock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003 Phone: 801-855-3841 Fax: 801-855-3854 | |
Dr. Jennifer Sariah Gilbert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 N 1100 E Ste 101, American Fork, UT 84003 Phone: 801-492-2550 Fax: 801-492-2576 | |
David K Hafen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003 Phone: 801-855-3850 Fax: 801-855-3854 | |
Andrew Reid Smith, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 N 1100 E Ste 101, American Fork, UT 84003 Phone: 801-492-2550 |