Kristie J Blake, APRN-CNM | |
920 N Hamilton Rd Ste 200, Gahanna, OH 43230-1757 | |
(614) 293-3069 | |
(614) 293-9684 |
Full Name | Kristie J Blake |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 8 Years |
Location | 920 N Hamilton Rd Ste 200, Gahanna, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871030262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.024341 (Ohio) | Secondary |
367A00000X | Advanced Practice Midwife | APRN.CNM.019312 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohio State University State Health System | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osu Gyn And Ob Consultants, Llc | 5092613257 | 66 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Osu Gyn & Ob Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073552493 PECOS PAC ID: 5092613257 Enrollment ID: O20031224000019 |
Mailing Address | Practice Location Address |
---|---|
Kristie J Blake, APRN-CNM 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-3069 | Kristie J Blake, APRN-CNM 920 N Hamilton Rd Ste 200, Gahanna, OH 43230-1757 Ph: (614) 293-3069 |
Ms. Cassandra Anne Sampsell, APRN-CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 920 N Hamilton Rd Ste 200, Gahanna, OH 43230 Phone: 614-293-3069 Fax: 614-293-9684 | |
Ms. Patricia L Dodge, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 920 N. Hamilton Rd, Suite 200, Gahanna, OH 43230 Phone: 614-366-3075 Fax: 614-366-0894 |