Blake Keith Mcdonald, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Buckeye, Arizona. His current practice location is
23374 W Yuma Rd Ste 104, Buckeye, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 242-6908.
Blake Keith Mcdonald is licensed to practice in Arizona (license number LPT-30012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306336391.
Physician's Profile
| Full Name | Blake Keith Mcdonald |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 23374 W Yuma Rd Ste 104, Buckeye, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306336391
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 05/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426302712
- Enrollment ID: I20181127000788
Medical Identifiers
Medical identifiers for Blake Keith Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306336391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | LPT-30012 (Arizona) | 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. Blake Keith Mcdonald allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Orthopedic Physical Therapy Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851490627
PECOS PAC ID: 9638177272
Enrollment ID: O20061115000299 |
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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 Keith Mcdonald 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 Keith Mcdonald, PT, DPT
23374 W Yuma Rd Ste 104,
Buckeye, AZ 85326-3120
Ph: (623) 242-6908 | Blake Keith Mcdonald, PT, DPT
23374 W Yuma Rd Ste 104,
Buckeye, AZ 85326-3120
Ph: (623) 242-6908 |
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