| Blaed Jacob Gerhart, PA-C | |
|
1 Farenholt St, Bldg K-1, Fpo, AP 96538 | |
| (671) 344-9679 | |
| (671) 344-9305 |
| Full Name | Blaed Jacob Gerhart |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Farenholt St, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437593209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA055993 (Pennsylvania) | Primary |
| Entity Name | Main Line Emergency Med Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316919368 PECOS PAC ID: 9234034729 Enrollment ID: O20031208000122 |
| Entity Name | Emergency Care Services of Pennsylvania PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaed Jacob Gerhart, PA-C Pse 490 P.o. Box 9095, Fpo, AP 96538 Ph: (671) 344-9679 | Blaed Jacob Gerhart, PA-C 1 Farenholt St, Bldg K-1, Fpo, AP 96538 Ph: (671) 344-9679 |
Nicole Brashears, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bldg #50, Farenholt Ave, Agana Heights, Fpo, AP 96910 Phone: 671-344-9340 |
Piper Noella Desorcie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 098-971-7555 |
Byanca Bevett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Psc 561 Box 1877, Fpo, AP 96310 Phone: 315-243-8649 |
Allison L Montgomery, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 315-243-8658 |
Emanuel Fernando Serrano, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Psc 455 Box 208, Fpo, AP 96540 Phone: 620-391-6006 |
Mr. Daniel Leroy Anderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Us Naval Hospital Okinawa, Fpo, AP 96350 Phone: 315-643-7555 |
Jessica Mae Martin, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Psc 477 Box 2, Fpo, AP 96306 Phone: 011-818-035346794 |