Dr Amy Blake, MD in Dublin, GA - Medicare Dermatology

Dr Amy Blake, MD is a medicare enrolled "Dermatology" physician in Dublin, Georgia. Her current practice location is 2400 Bellevue Rd Ste 21a, Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 328-9219.

Dr Amy Blake is licensed to practice in Georgia (license number 92981) 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 1386148708.

Contact Information

	Dr Amy Blake, MD
	2400 Bellevue Rd Ste 21a, Dublin, GA 31021-2890
	(478) 328-9219
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amy Blake
Gender	Female
Speciality	Dermatology
Location	2400 Bellevue Rd Ste 21a, Dublin, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386148708
Provider Enumeration Date: 03/20/2018
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3274880307
Enrollment ID: I20220920000207

Medical Identifiers

Medical identifiers for Dr Amy Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386148708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	237994 (North Carolina)	Secondary
207R00000X	Internal Medicine	237994 (North Carolina)	Secondary
207N00000X	Dermatology	92981 (Georgia)	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. Dr Amy Blake allows following entities to bill medicare on her behalf.

Entity Name	Georgia Dermatology & Skin Cancer Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063460459 PECOS PAC ID: 7113980855 Enrollment ID: O20041104000512

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. Dr Amy 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
Dr Amy Blake, MD 2400 Bellevue Rd Ste 21a, Dublin, GA 31021-2890 Ph: (478) 328-9219	Dr Amy Blake, MD 2400 Bellevue Rd Ste 21a, Dublin, GA 31021-2890 Ph: (478) 328-9219

Reviews and Comments

Dermatology Doctors in Dublin, GA

Kristin Watson Davis, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-2694
Michael John Sharkey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd, 16 Erin Office Park, Dublin, GA 31021 Phone: 478-275-2694
Dr. Jason Glen Arnold, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 21a, Dublin, GA 31021 Phone: 478-328-0281 Fax: 478-328-1433

Dr Amy Blake, MD - Medicare Dermatology in Dublin, GA