| Blake Bloomfield, PA-C | |
|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
| (704) 446-5185 | |
| Not Available |
| Full Name | Blake Bloomfield |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1063095743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Medical Center | 4789597477 | 1057 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Bloomfield, PA-C 145 New Bern St Apt 143, Charlotte, NC 28209-4301 Ph: (810) 962-3192 | Blake Bloomfield, PA-C 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 446-5185 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 |
Emil Peter Occhiboi, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4741 Randolph Rd Ste 100&200, Charlotte, NC 28211 Phone: 704-365-6730 |
Shelda Amilcka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 |
Ms. Mariah Leigh Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277 Phone: 980-308-0169 Fax: 980-308-0173 |
Katherine Michelle Mattingly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8201 Healthcare Loop Ste 305, Charlotte, NC 28215 Phone: 980-302-3050 Fax: 980-302-3055 |
Lauren Michelle Ramsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204 Phone: 704-373-0212 |