Diana T Blake, MD in Athens, GA - Medicare Internal Medicine

Diana T Blake, MD is a medicare enrolled "Internal Medicine" physician in Athens, Georgia. She went to Brody School Of Medicine At East Carolina University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St. Mary's Medical Group, Inc. and her current practice location is 2470 Daniells Bridge Rd Ste 231, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 769-3362.

Diana T Blake is licensed to practice in Georgia (license number 97760) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023495470.

Contact Information

	Diana T Blake, MD
	2470 Daniells Bridge Rd Ste 231, Athens, GA 30606-6188
	(706) 769-3362
	(706) 769-5675

Map and Direction

Physician's Profile

Full Name	Diana T Blake
Gender	Female
Speciality	Internal Medicine
Experience	9 Years
Location	2470 Daniells Bridge Rd Ste 231, Athens, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diana T Blake attended and graduated from Brody School Of Medicine At East Carolina University in 2015

NPI Data:

NPI Number: 1023495470
Provider Enumeration Date: 05/05/2015
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6406164748
Enrollment ID: I20231114000301

Medical Identifiers

Medical identifiers for Diana T Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023495470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	97760 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Hospital	Athens, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Mary's Medical Group, Inc.	7113098393	103

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. Diana T Blake allows following entities to bill medicare on her behalf.

Entity Name	St. Mary's Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376711333 PECOS PAC ID: 7113098393 Enrollment ID: O20080616000388

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. Diana T 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
Diana T Blake, MD Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740	Diana T Blake, MD 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606-6188 Ph: (706) 769-3362

Reviews and Comments

Internal Medicine Doctors in Athens, GA

Bannur Ramanna Nandeesh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076
Krupal Jay Hari, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790
Mr. Ashwin Thatti, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484
Dr. Stephen William Wilde, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693
Dr. James S Miller, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787
Dr. Paul Peteet, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217

Diana T Blake, MD - Medicare Internal Medicine in Athens, GA