Individual ProviderAmela BlekicPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011(503) 494-8211PECOS EnrollmentBased on the most recent information from CMS, provider Amela Blekic is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285833780Provider TypeIndividualFull NameBlekic, AmelaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/13/2007Last Updated11/23/2011Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011Phone(503) 494-8211FaxUnlisted FaxMailing LocationMailing Address3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD28785OregonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseLL17196Oregon