| Blake Kalie, | |
|
90 Kenmore Ave, Ponte Vedra, FL 32081-0100 | |
| (330) 465-3587 | |
| Not Available |
| Full Name | Blake Kalie |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 9 Years |
| Location | 90 Kenmore Ave, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326574492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME162651 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Precise Home Care Llc | Jacksonville, FL | Home health agency |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Mayo Clinic | Jacksonville, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Encompass Health Rehabilitation Hospital Of St Aug | Saint augustine, FL | Inpatient rehabilitation facility |
| Entity Name | Kalie Rehabilitation Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053090043 PECOS PAC ID: 4789033564 Enrollment ID: O20231206001579 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Jenna Kay, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 236 Ponte Vedra Park Dr, Suite 300, Ponte Vedra, FL 32082 Phone: 904-280-3440 |
Robert Sheriffs, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 149 Spinner Dr, Ponte Vedra, FL 32081 Phone: 239-398-3225 |