Mr Blake William Bartholomew, is a medicare enrolled "Physician Assistant" provider in Vero Beach, Florida. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Legacy Healthcare Services Inc, Indian River Health Services Inc and his current practice location is
1265 36th St, Vero Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 567-6340.
Mr Blake William Bartholomew is licensed to practice in Florida (license number PAT9118141) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821468893.
Healthcare Provider's Profile
| Full Name | Mr Blake William Bartholomew |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1265 36th St, Vero Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Blake William Bartholomew graduated from medical school in 2022
NPI Data:
- NPI Number: 1821468893
- Provider Enumeration Date: 10/02/2015
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951753383
- Enrollment ID: I20240122000742
Medical Identifiers
Medical identifiers for Mr Blake William Bartholomew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821468893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PAT9118141 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Indian River Health Services Inc | 9234130329 | 329 |
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. Mr Blake William Bartholomew 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 |
|---|
Mr Blake William Bartholomew,
835 23rd Ave,
Vero Beach, FL 32960-3950
Ph: (772) 473-1095 | Mr Blake William Bartholomew,
1265 36th St,
Vero Beach, FL 32960-6574
Ph: (772) 567-6340 |
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