| Mr Douglas Anthony Blakely, CAA | |
|
900 23rd St Nw, Washington, DC 20037-2342 | |
| (202) 715-4750 | |
| Not Available |
| Full Name | Mr Douglas Anthony Blakely |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 900 23rd St Nw, Washington, District Of Columbia |
| 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 |
|---|---|---|---|
| 1952994071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA2000013 (District Of Columbia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA942 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Anthony Blakely, CAA 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 715-4750 | Mr Douglas Anthony Blakely, CAA 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 715-4750 |
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