| Blake Squires, PA | |
|
4021 Avenue B, Scottsbluff, NE 69361-4602 | |
| (308) 635-3711 | |
| Not Available |
| Full Name | Blake Squires |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 4021 Avenue B, Scottsbluff, Nebraska |
| 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 |
|---|---|---|---|
| 1306430848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2568 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Box Butte General Hospital | Alliance, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Imaging Of Nebraska Llc | 5597828269 | 103 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Squires, PA 10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895 Ph: (303) 761-9190 | Blake Squires, PA 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (308) 635-3711 |
Mrs. Michaela Amroliwalla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W 42nd St Ste 3100, Scottsbluff, NE 69361 Phone: 308-632-2872 Fax: 308-632-4191 | |
Mr. Vance V Siedenburg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B Ste G100, Scottsbluff, NE 69361 Phone: 308-630-1348 | |
Trinity J Fuss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B Ste 3100, Scottsbluff, NE 69361 Phone: 308-635-3033 Fax: 308-635-3010 | |
Sharae Ann Inman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 940-595-5052 | |
Mr. Joseph Edward Jeter, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2138 | |
Heidi C Larson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 W 42nd St, Suite 1200, Scottsbluff, NE 69361 Phone: 308-630-1811 |