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Blake Steven Riebe

Radiology

Allopathic & Osteopathic Physicians

One Hospital Dr, Columbia, MO 65212-0001

PECOS Enrollment

This provider is enrolled in PECOS as BLAKE RIEBE.

Based on the most recent information from CMS, provider Blake Steven Riebe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1295020295
Provider Type
Individual
Full Name
Riebe, Blake Steven
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/17/2011
Last Updated
10/1/2020

Contact Information

Practice Location

One Hospital Dr, Columbia, MO 65212-0001

(573) 882-2663

(573) 884-4608

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 884-3300

(573) 884-0943

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2017000631 Missouri
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 2016022181 Missouri

Blake Steven Riebe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Yagnik, Vivek

Garg, Megha

Siddiqui, Mohammed Azfar

Mcnaul, David Wayne

Mazuru-Witten, Dana Gabriela

Mahdi, Eman S

Aro, Michael Rantiolu

Hexem, Eric Gregory

Thornburgh, Cody Lee

Churchill, Robert J