Cory Blake, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Davidson, North Carolina. 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 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 1790515898.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Cory Blake | 
|---|
| Gender | Male | 
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| Speciality | Physical Medicine & Rehabilitation | 
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| Location | 460 S Main St, Davidson, North Carolina | 
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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: 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 | 
		
		
			
			
			
			
		
		 
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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