| Ms Blake Borders, | |
|
222 Bland St, Benton, MO 63736-9206 | |
| (573) 427-6027 | |
| (573) 427-6027 |
| Full Name | Ms Blake Borders |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 222 Bland St, Benton, Missouri |
| 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 |
|---|---|---|---|
| 1366950693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2017026029 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Associates Of Southeast Missouri Llc | 5991615072 | 40 |
| Saint Francis Medical Center | 9931007929 | 408 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Entity Name | Managed Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013949593 PECOS PAC ID: 1951298157 Enrollment ID: O20040302001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Blake Borders, Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Ms Blake Borders, 222 Bland St, Benton, MO 63736-9206 Ph: (573) 427-6027 |
Amber Nicole Thorne, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6468 State Highway 77, Benton, MO 63736 Phone: 573-545-3700 | |
Mrs. Jaimie Suzanne Cannon, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6468 State Highway 77, Benton, MO 63736 Phone: 573-545-3565 Fax: 573-545-3491 |