Alicia Nicole Blakley, DDS in Milwaukee, WI

Alicia Nicole Blakley, DDS is a medicare enrolled "Dentist - General Practice" provider in Milwaukee, Wisconsin. Her current practice location is 8200 W Silver Spring Dr, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 760-3900.

Alicia Nicole Blakley is licensed to practice in Illinois (license number 019028721) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609155498.

Contact Information

	Alicia Nicole Blakley, DDS
	8200 W Silver Spring Dr, Milwaukee, WI 53218-2552
	(414) 760-3900
	(414) 464-7258

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Nicole Blakley
Gender	Female
Speciality	Dentist - General Practice
Location	8200 W Silver Spring Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609155498
Provider Enumeration Date: 08/10/2011
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9436479870
Enrollment ID: I20150526001726

Medical Identifiers

Medical identifiers for Alicia Nicole Blakley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609155498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7031 (Wisconsin)	Secondary
1223G0001X	Dentist - General Practice	019028721 (Illinois)	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. Alicia Nicole Blakley allows following entities to bill medicare on her behalf.

Entity Name	Milwaukee Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518005818 PECOS PAC ID: 7416946884 Enrollment ID: O20040511000114

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. Alicia Nicole Blakley 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
Alicia Nicole Blakley, DDS 430 W Erie St, Ste 200, Chicago, IL 60654-6914 Ph: (920) 838-1649	Alicia Nicole Blakley, DDS 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 Ph: (414) 760-3900

Reviews and Comments

Dentist in Milwaukee, WI

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Dr. David Steffen Koenig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4455 W Bradley Rd, Milwaukee, WI 53223 Phone: 414-354-9600 Fax: 414-355-7698
Mrs. Manijeh Khorshidi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-4540
Kara Susan Gapinski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000

Alicia Nicole Blakley, DDS - Medicare Dentist in Milwaukee, WI