Blake Butler Sparks, MD in Irvine, CA - Medicare Plastic Surgery

Blake Butler Sparks, MD is a medicare enrolled "Plastic Surgery" physician in Irvine, California. Her current practice location is 113 Waterworks Way Ste 300, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 653-7000.

Blake Butler Sparks is licensed to practice in California (license number A204050) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194112870.

Contact Information

	Blake Butler Sparks, MD
	113 Waterworks Way Ste 300, Irvine, CA 92618-3174
	(949) 653-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Blake Butler Sparks
Gender	Female
Speciality	Plastic Surgery
Location	113 Waterworks Way Ste 300, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194112870
Provider Enumeration Date: 04/21/2015
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1850663642
Enrollment ID: I20240130001609

Medical Identifiers

Medical identifiers for Blake Butler Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194112870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	55738 (Kentucky)	Secondary
208200000X	Plastic Surgery	A204050 (California)	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 Butler Sparks allows following entities to bill medicare on her behalf.

Entity Name	Joseph C Banis Jr Md Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124125497 PECOS PAC ID: 1951385137 Enrollment ID: O20040615001496

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 Butler Sparks 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 Butler Sparks, MD 113 Waterworks Way Ste 300, Irvine, CA 92618-3174 Ph: (949) 653-7000	Blake Butler Sparks, MD 113 Waterworks Way Ste 300, Irvine, CA 92618-3174 Ph: (949) 653-7000

Reviews and Comments

Plastic Surgery Doctors in Irvine, CA

Dr. Michael Jay Kamper, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 8 Sandpebble, Irvine, CA 92603 Phone: 949-509-1044 Fax: 949-509-1041
Mark E Krugman, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16300 Sand Canyon Ave #1011, Irvine, CA 92618 Phone: 714-972-1811 Fax: 714-972-0986
Dr. Andrew Donald Smith, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 18 Endeavor Ste 102, Irvine, CA 92618 Phone: 949-653-7000 Fax: 949-453-0553
Dr. Michael J Yoo, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 22 Odyssey, Suite 270a, Irvine, CA 92618 Phone: 949-791-7941 Fax: 888-345-1631
Dr. Ali M Soltani, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6670 Alton Pkwy, Medical Office Building 1, Irvine, CA 92618 Phone: 949-932-5938 Fax: 888-648-8775
Robert Evan Tuchler, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6670 Alton Pkwy, Sand Canyon Medical Office, Suite 4110, Irvine, CA 92618 Phone: 949-932-5126

Blake Butler Sparks, MD - Medicare Plastic Surgery in Irvine, CA