| Mr Blake Hanson Mclemore, PA-C | |
|
3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | |
| (205) 977-1205 | |
| Not Available |
| Full Name | Mr Blake Hanson Mclemore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 3104 Blue Lake Dr Ste 110, Vestavia, Alabama |
| 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 |
|---|---|---|---|
| 1902515687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent's Birmingham | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stv Pulmonary Group Llc | 1355616400 | 26 |
| Entity Name | Stv Pulmonary Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548797566 PECOS PAC ID: 1355616400 Enrollment ID: O20170929000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Hanson Mclemore, PA-C 424 Paramount Ln, Hoover, AL 35226-1536 Ph: Not Available | Mr Blake Hanson Mclemore, PA-C 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1205 |
Eden Ruth Roberson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4071 Paxton Pl, Vestavia, AL 35242 Phone: 205-209-5824 |
Averie Plugge Kingren, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 |
Colton Heyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 |
Lauren Searcy Decker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5018 Cahaba River Rd, Vestavia, AL 35243 Phone: 205-453-7550 |
Rebekah Elise Head, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 521 Montgomery Hwy, Ste 117, Vestavia, AL 35216 Phone: 205-824-4441 Fax: 205-822-3978 |
Samantha Sutzko, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 Reserve Ct, Vestavia, AL 35243 Phone: 252-725-0491 |
Amelia Carol Davis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Montgomery Hwy, Suite 125, Vestavia, AL 35216 Phone: 229-723-1440 |