| Michael P Blasko, PA | |
|
4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | |
| (949) 335-7500 | |
| (949) 387-1206 |
| Full Name | Michael P Blasko |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 4631 Teller Ave Ste 100, Newport Beach, California |
| 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 |
|---|---|---|---|
| 1124100300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00000PA17281 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uci Health-orange | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 4082510250 | 27 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659329746 PECOS PAC ID: 4082510250 Enrollment ID: O20031209000514 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Blasko, PA 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 Ph: (949) 335-7500 | Michael P Blasko, PA 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 Ph: (949) 335-7500 |
Chelsea Vilicich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 |
Elizabeth Koprucki, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 651-373-6604 |
Taylor Thanh-tam Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 858-554-1212 Fax: 949-620-1222 |
Chelsee Jeanine Brubaker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 776-936-2668 |
Sally E. Decastro-tilsen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Newport Center Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-8001 Fax: 949-760-3671 |
Jennifer Hong Nguyen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 949-688-6062 |
Jill Ryan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Westcliff Dr Ste 201, Newport Beach, CA 92660 Phone: 440-387-3114 |