Dr. Blayne K Street
D.O. | Pediatrics | Male
Dr. Blayne K Street, D.O. is a Sweetwater, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Blayne K Street is
301 Jenny George Lane, Building B, Suite 5, Sweetwater, Texas - 79556. He can be contacted on phone at
325-219-6175 and fax number 325-219-6179.
Dr. Blayne K Street is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Blayne K Street is
1568811636 which was assigned by NPPES on 08 Jun, 2016 and it was last updated on 13 Jun, 2022.
Dr. Blayne K Street license number is
S6314 for Pediatrics (208000000X) in Texas.
Dr. Blayne K Street is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Blayne K Street basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Blayne K Street |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Dr. Blayne K Street address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 Jenny George Lane, Building B, Suite 5
Sweetwater, TX, 79556
United States |
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| Phone Number : | 325-219-6175 |
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| Fax Number : | 325-219-6179 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568811636 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2016 |
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| Last Updated On : | 13 Jun, 2022 |
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Medicare Participation:
Dr. Blayne K Street participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0042502809 |
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| Medicare Enrollment ID : | I20210726001959 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of North Texas Hsc, College Of Osteopathic Med |
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| Graduation Year : | 2016 |
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| Accepts Medicare? | Yes. Dr. Blayne K Street accepts medicare insurance. |
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Group Practice Association:
Dr. Blayne K Street is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Blayne K Street is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Discovery Medical Network Sweetwater Llc | 6608025176 | 9 | 301 Jenny George Ln
Suite 5
Sweetwater, TX - 795567152
Ph: 3252356814 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Blayne K Street are as mentioned. Primary taxonomy code for Dr. Blayne K Street, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207QS0010X | Family Medicine Sports Medicine | No | S6314 | TX |
| 208000000X | Pediatrics | Yes | S6314 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Blayne K Street such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 426407901 | MEDICAID | TX | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | bstreet@rpmh.net
email | No affiliation | OTHER
Other
records | OTHER
Other
records | 301 JENNY GEORGE LANE, BUILDING B, SUITE 5
SWEETWATER, TX, 79556
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 Jenny George Ln, Building B, Suite 5
Sweetwater, TX, 79556-7152
United States |
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| Phone Number : | 325-219-6175 |
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| Fax Number : | 325-219-6179 |
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Business Location:
Patients can refer following map for directions to
Dr. Blayne K Street practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.