Lloyd W Blake, MD in Meridian, ID - Medicare Internal Medicine

Lloyd W Blake, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Meridian, Idaho. His current practice location is 2347 E Gala St, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 323-3767.

Lloyd W Blake is licensed to practice in Idaho (license number M11127) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487730735.

Contact Information

	Lloyd W Blake, MD
	2347 E Gala St, Meridian, ID 83642-4881
	(208) 323-3767
	Not Available

Map and Direction

Physician's Profile

Full Name	Lloyd W Blake
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	2347 E Gala St, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487730735
Provider Enumeration Date: 10/30/2006
Last Update Date: 04/04/2017

Medicare PECOS Information:

PECOS PAC ID: 3173582491
Enrollment ID: I20101210000595

Medical Identifiers

Medical identifiers for Lloyd W Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487730735	NPI	-	NPPES
13251	Medicaid	ND
P00137593	Other	ND	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0012X	Internal Medicine - Sleep Medicine	M11127 (Idaho)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	M11127 (Idaho)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	M11127 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lloyd W Blake allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Lloyd W Blake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lloyd W Blake, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222	Lloyd W Blake, MD 2347 E Gala St, Meridian, ID 83642-4881 Ph: (208) 323-3767

Reviews and Comments

Internal Medicine Doctors in Meridian, ID

Mr. Eric Ld Scholten, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767 Fax: 208-323-3768
Lynn Ge-zerbe, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1759 S Millenium Way, Meridian, ID 83642 Phone: 208-387-6546 Fax: 888-334-8747
Dr. Aaron Dunham, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 Phone: 208-302-3300 Fax: 208-302-3355
Oleg Sergeevich Kouskov, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-3767
John T Witte, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2235 E Gala St, Meridian, ID 83642 Phone: 208-887-3724 Fax: 208-887-3724
John B Dever, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 310, Meridian, ID 83642 Phone: 208-463-3000
Dr. Wendi M Norris, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala St, Meridian, ID 83642 Phone: 208-323-0031 Fax: 208-323-0064

Lloyd W Blake, MD - Medicare Internal Medicine in Meridian, ID