Blake L Dixon, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Dover, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Marys Physician Services Llc and his current practice location is
8970 Market St, Dover, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 331-3880.
Blake L Dixon is licensed to practice in Arkansas (license number E-13204) 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 1518316702.
Physician's Profile
| Full Name | Blake L Dixon |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 8970 Market St, Dover, Arkansas |
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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. |
Medical Education and Training:
- Blake L Dixon attended and graduated from University Of Arkansas College Of Medicine in 2016
NPI Data:
- NPI Number: 1518316702
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315295854
- Enrollment ID: I20200619001164
Medical Identifiers
Medical identifiers for Blake L Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518316702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QS0010X | Family Medicine - Sports Medicine | E-13204 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Marys Physician Services Llc | 4981698032 | 40 |
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 L Dixon allows following entities to bill medicare on his behalf.
| Entity Name | St Marys Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
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| Entity Name | Fulton County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831274612 PECOS PAC ID: 8921099961 Enrollment ID: O20060127000010 |
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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 L Dixon 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 L Dixon, MD 8970 Market St, Dover, AR 72837-9110 Ph: (479) 331-3880 | Blake L Dixon, MD 8970 Market St, Dover, AR 72837-9110 Ph: (479) 331-3880 |
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