Mrs Rebecca S Blake I, CNA is a
Community Health Worker based in Clinton, Oklahoma. Mrs Rebecca S Blake I is licensed to practice in Oklahoma (license number 37V350170804) and her current practice location is
408 S 17th St, Clinton, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 323-0312.
NPI number for Mrs Rebecca S Blake I is 1205098134 and her current mailing address is 408 N Mo St, Thomas, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205098134.
Healthcare Provider's Profile
| Full Name | Mrs Rebecca S Blake I |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 408 S 17th St, Clinton, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205098134
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 07/22/2008
Medical Identifiers
Medical identifiers for Mrs Rebecca S Blake I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205098134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 37V350170804 (Oklahoma) | Secondary |
| 172V00000X | Community Health Worker | 37V350170804 (Oklahoma) | 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. Mrs Rebecca S Blake I 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 Address | Practice Location Address |
Mrs Rebecca S Blake I, CNA 408 N Mo St, Thomas, OK 73369 Ph: (580) 661-2904 | Mrs Rebecca S Blake I, CNA 408 S 17th St, Clinton, OK 73601-4236 Ph: (580) 323-0312 |
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