Stedmond L Blake, - Licensed Practical Nurse in Ft Wainwright, AK

Stedmond L Blake, is a Licensed Practical Nurse based in Ft Wainwright, Alaska. Stedmond L Blake is licensed to practice in Alaska (license number P5585) and his current practice location is 1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm, Ft Wainwright, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 353-5418.

NPI number for Stedmond L Blake is 1902878192 and his current mailing address is 1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm, Ft Wainwright, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902878192.

Contact Information

Stedmond L Blake,
1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm,
Ft Wainwright, AK 99703-5001
(907) 353-5418
(907) 353-4845



Provider's Profile

Full NameStedmond L Blake
GenderMale
SpecialityLicensed Practical Nurse
Location1060 Gaffney Rd, Ft Wainwright, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902878192
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stedmond L Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902878192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse P5585 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stedmond L Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stedmond L Blake,
1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm,
Ft Wainwright, AK 99703-5001

Ph: (907) 353-5418
Stedmond L Blake,
1060 Gaffney Rd, Commander,usa-maeeac-ak,attn:mcuc-mmd-qm,
Ft Wainwright, AK 99703-5001

Ph: (907) 353-5418

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Ft Wainwright, AK

Wilma June Ison, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Mr. Jack Ernest Hendrickson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-1207    
Mrs. Dawn Lynee Mckendrick, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Deniece Lee Wazny, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-4107    
Glenn Parker,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
William Bryant,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Ms. Brenda Bonita Webber, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak-mmcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845

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