Blake K Patterson, AMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bluffdale, Utah. His current practice location is
15078 S 2815 W, Bluffdale, Utah. You can reach out to his office (for appointments etc.) via phone at
(214) 769-5139.
Blake K Patterson is licensed to practice in Utah (license number 12987596-3904) 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 1194594325.
Healthcare Provider's Profile
| Full Name | Blake K Patterson |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 15078 S 2815 W, Bluffdale, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194594325
- Provider Enumeration Date: 12/28/2023
- Last Update Date: 08/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204360894
- Enrollment ID: I20241105001156
Medical Identifiers
Medical identifiers for Blake K Patterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194594325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 12987596-3904 (Utah) | 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. Blake K Patterson allows following entities to bill medicare on his behalf.
| Entity Name | Sunrise Solutions |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598112385 PECOS PAC ID: 9537541875 Enrollment ID: O20220802003184 |
|---|
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. Blake K Patterson 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 |
Blake K Patterson, AMFT 15078 S 2815 W, Bluffdale, UT 84065-1724 Ph: (801) 867-3472 | Blake K Patterson, AMFT 15078 S 2815 W, Bluffdale, UT 84065-1724 Ph: (214) 769-5139 |
Reviews and Comments