| Dr Jacob Colman Blakeman, DPM | |
|
506 S 6th St, Leesville, LA 71446-4482 | |
| (337) 239-0989 | |
| (337) 239-0987 |
| Full Name | Dr Jacob Colman Blakeman |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 13 Years |
| Location | 506 S 6th St, Leesville, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760749261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 300191 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Il Medical Group Llc | 5496111676 | 51 |
| Provider Name | Ahs Il Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Colman Blakeman, DPM 172 Lonesome Hill Rd, Leesville, LA 71446-6231 Ph: (217) 717-7836 | Dr Jacob Colman Blakeman, DPM 506 S 6th St, Leesville, LA 71446-4482 Ph: (337) 239-0989 |
Brian Benson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1108 Port Arthur Ter, Leesville, LA 71446 Phone: 337-239-1061 | |
The Foot Clinic Of West Louisiana Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1108 Port Arthur Ter, Leesville, LA 71446 Phone: 337-239-1061 Fax: 337-239-1062 | |
Dr. Jim B Harvey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1108 Port Arthur Ter, Leesville, LA 71446 Phone: 337-239-1061 Fax: 337-239-1062 | |
The Foot Clinic Of West Louisiana Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1108 Port Arthur Ter, Leesville, LA 71446 Phone: 337-239-1061 Fax: 337-239-1062 |