Blake Allan Peterson, - Medicare Emergency Medicine in Buffalo, NY

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Blake Allan Peterson, is a medicare enrolled "Emergency Medicine" physician in Buffalo, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice University Emergency Medical Services Inc. and his current practice location is 955 Main St Ste 7230, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 829-2012.

Blake Allan Peterson is licensed to practice in New York (license number 343066) 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 1790480549.

Contact Information

Blake Allan Peterson,
955 Main St Ste 7230,
Buffalo, NY 14203-1121
(716) 829-2012
(716) 829-3999

Map and Direction




Physician's Profile

Full NameBlake Allan Peterson
GenderMale
SpecialityEmergency Medicine
Experience3 Years
Location955 Main St Ste 7230, Buffalo, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Allan Peterson attended and graduated from State University Of New York At Buffalo School Of Medicine in 2023
  NPI Data:
  • NPI Number: 1790480549
  • Provider Enumeration Date: 04/03/2023
  • Last Update Date: 07/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5395214639
  • Enrollment ID: I20260515003268

Medical Identifiers

Medical identifiers for Blake Allan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790480549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 343066 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital
Brooks-tlc Hospital System, IncDunkirk, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Emergency Medical Services Inc.074918266597

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 Allan Peterson 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 AddressPractice Location Address
Blake Allan Peterson,
955 Main St Ste 7230,
Buffalo, NY 14203-1121

Ph: (716) 829-2012		Blake Allan Peterson,
955 Main St Ste 7230,
Buffalo, NY 14203-1121

Ph: (716) 829-2012

Reviews and Comments


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Thomas William Jordan, D.O.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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