| Blake Kent Mcdaniel, FNP-C | |
|
808 W Us Highway 79, Franklin, TX 77856-1728 | |
| (979) 828-1450 | |
| (979) 828-1164 |
| Full Name | Blake Kent Mcdaniel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 808 W Us Highway 79, Franklin, Texas |
| 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 |
|---|---|---|---|
| 1750973681 | NPI | - | NPPES |
| 1029921 | Other | TX | TEXAS BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1029921 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Joseph Health Regional Hospital | Bryan, TX | Hospital |
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brazos Valley Community Action Agency Inc | 4284542127 | 41 |
| Entity Name | Bryan Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417995481 PECOS PAC ID: 7416840574 Enrollment ID: O20040204000121 |
| Entity Name | Brazos Valley Community Action Agency Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265646 PECOS PAC ID: 4284542127 Enrollment ID: O20040708001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Kent Mcdaniel, FNP-C 808 W Us Highway 79, Franklin, TX 77856-1728 Ph: (979) 828-1450 | Blake Kent Mcdaniel, FNP-C 808 W Us Highway 79, Franklin, TX 77856-1728 Ph: (979) 828-1450 |
Lara Cornelia Thibodeaux, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 W Us Highway 79, 2880, Franklin, TX 77856 Phone: 979-282-4540 Fax: 979-828-3006 |