Blaine L Burdick (NPI# 1235393489, PAC ID# 3678616679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1235393489 |
| PAC ID by PECOS | 3678616679 |
| Professional Enrollment ID | I20100129000368 |
| Full Name | Blaine L Burdick |
| Organization Legal Name | KREIN AND MOEN, PC |
| Address |
211 4th St Ne Suite 1 Devils Lake ND 58301-2479 |
| Phone Number | 7016622040 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9638072440 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 211 4th St Ne, Suite 1, Devils Lake, ND 58301-2479 | 7016622040 | KREIN AND MOEN, PC |
| 3883 74th Ave Ne, Spirit Lake Health Center, Fort Totten, ND 58335-0309 | 7017661600 | SPIRIT LAKE TRIBE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 3% |
| Organization Legal Name | KREIN AND MOEN, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Moen | Optometry | Krein and Moen, PC | 404 Hwy 2 E, Devils Lake, ND 58301-3932 |
| Carey L Enderle | Optometry | Krein and Moen, PC | 404 Hwy 2 E, Devils Lake, ND 58301-3932 |
| Kyle D Krein | Optometry | Krein and Moen, PC | 404 Hwy 2 E, Devils Lake, ND 58301-3932 |
| Street Address |
211 4TH ST NE SUITE 1 |
| City | DEVILS LAKE |
| State | ND |
| Zip | 58301-2479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford L Frank | Psychiatry | Center for Psychiatric Care | 307 5th Ave Northeast, Devils Lake, ND 58301-2509 |
| David H Bialik | Clinical Social Worker | Center for Psychiatric Care | 307 5th Ave Northeast, Devils Lake, ND 58301-2509 |
| Tamim R Khromachou | Family Medicine | Mercy Hospital of Devils Lake | 1031 7th St Ne, Devils Lake, ND 58301-2719 |
| Paul Fleissner | Family Practice | Altru Health System | 1001 7th Nest, Devils Lake, ND 58301-2719 |
| Derek Wayman | Family Medicine | Altru Health System | 1001 7th St Ne, Devils Lake, ND 58301-2719 |
| Carlee Thomson | Nurse Practitioner | Mercy Hospital of Devils Lake | 1031 7th St Ne, Devils Lake, ND 58301-2719 |
| Richard E Johnson | Diagnostic Radiology | 1031 7th St Ne, Devils Lake, ND 58301-2719 | |
| Thomas C Corbett | Internal Medicine | Altru Health System | 1001 7th St Ne, Devils Lake, ND 58301-2719 |
| Timothy Reiner | Certified Registered Nurse Anesthetist | Mercy Hospital of Devils Lake | 1031 7th St Ne, Devils Lake, ND 58301-2719 |
| Brenna S Berge | Clinical Social Worker | Lifewise Associates LLC | 210 Hwy 2 W, Suite 10, Devils Lake, ND 58301-2913 |
| Find all physicians in zip 58301 | |||
| City | DEVILS LAKE |
| Zip Code | 58301 |
| Specialty | OPTOMETRY |
| City + Specialty | DEVILS LAKE + OPTOMETRY |
Please comment or provide details below to improve the information on Blaine L Burdick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.