Cory Blake, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Davidson, North Carolina. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Saylor Physical Therapy Cornelius Llc and his current practice location is
460 S Main St, Davidson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 255-6383.
Cory Blake is licensed to practice in North Carolina (license number P23407) 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 1790515898.
Physician's Profile
| Full Name | Cory Blake |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 460 S Main St, Davidson, North Carolina |
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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:
- Cory Blake graduated from medical school in 2024
NPI Data:
- NPI Number: 1790515898
- Provider Enumeration Date: 08/05/2024
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769909951
- Enrollment ID: I20250512000594
Medical Identifiers
Medical identifiers for Cory Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790515898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | P23407 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Saylor Physical Therapy Cornelius Llc | 9133443658 | 4 |
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. Cory Blake allows following entities to bill medicare on his behalf.
| Entity Name | Saylor Physical Therapy Cornelius Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215331525 PECOS PAC ID: 9133443658 Enrollment ID: O20150109001769 |
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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. Cory Blake 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 |
Cory Blake, 460 S Main St # 302, Davidson, NC 28036-8006 Ph: (704) 255-6383 | Cory Blake, 460 S Main St, Davidson, NC 28036-8006 Ph: (704) 255-6383 |
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