Blake Kalie, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Ponte Vedra, Florida. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
90 Kenmore Ave, Ponte Vedra, Florida. You can reach out to his office (for appointments etc.) via phone at
(330) 465-3587.
Blake Kalie is licensed to practice in Florida (license number ME162651) 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 1326574492.
Physician's Profile
| Full Name | Blake Kalie |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 7 Years |
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| Location | 90 Kenmore Ave, Ponte Vedra, 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:
- Blake Kalie graduated from medical school in 2017
NPI Data:
- NPI Number: 1326574492
- Provider Enumeration Date: 05/10/2017
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901209071
- Enrollment ID: I20231206001650
Medical Identifiers
Medical identifiers for Blake Kalie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326574492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | ME162651 (Florida) | Primary |
Medical Facilities Affiliation
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 Kalie allows following entities to bill medicare on his behalf.
| Entity Name | Kalie Rehabilitation Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053090043
PECOS PAC ID: 4789033564
Enrollment ID: O20231206001579 |
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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 Kalie 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 |
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Blake Kalie,
90 Kenmore Ave,
Ponte Vedra, FL 32081-0100
Ph: (330) 465-3587 | Blake Kalie,
90 Kenmore Ave,
Ponte Vedra, FL 32081-0100
Ph: (330) 465-3587 |
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