Dr Blake Andrew Wylie, DO - Medicare Family Practice in Laguna Hills, CA

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Dr Blake Andrew Wylie, DO is a medicare enrolled "Family Medicine" physician in Laguna Hills, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Centro De Salud De La Comunidad De San Ysidro, Inc and his current practice location is 23181 Verdugo Dr Ste 103a, Laguna Hills, California. You can reach out to his office (for appointments etc.) via phone at (949) 366-1053.

Dr Blake Andrew Wylie is licensed to practice in California (license number 20A11088) 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 1922314145.

Contact Information

Dr Blake Andrew Wylie, DO
23181 Verdugo Dr Ste 103a,
Laguna Hills, CA 92653-1313
(949) 366-1053
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake Andrew Wylie
GenderMale
SpecialityFamily Practice
Experience16 Years
Location23181 Verdugo Dr Ste 103a, Laguna Hills, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Blake Andrew Wylie graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1922314145
  • Provider Enumeration Date: 08/25/2010
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092978551
  • Enrollment ID: I20120519000001

Medical Identifiers

Medical identifiers for Dr Blake Andrew Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922314145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A11088 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centro De Salud De La Comunidad De San Ysidro, Inc6901709435207

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. Dr Blake Andrew Wylie allows following entities to bill medicare on his behalf.
Entity NameCentro De Salud De La Comunidad De San Ysidro, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711
Entity NameHousecall Doctors Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033164017
PECOS PAC ID: 6103802855
Enrollment ID: O20040624001654

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. Dr Blake Andrew Wylie 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 AddressPractice Location Address
Dr Blake Andrew Wylie, DO
2721 Washington Street,
Julian, CA 92036

Ph: (760) 765-1223		Dr Blake Andrew Wylie, DO
23181 Verdugo Dr Ste 103a,
Laguna Hills, CA 92653-1313

Ph: (949) 366-1053

Reviews and Comments


Family Medicine Doctors in Laguna Hills, CA

Lisa L. Majer, D.O
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Phone: 949-452-7525    Fax: 949-452-7511
Dr. Jorge A Rivero, MD
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Practice Location: 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653
Phone: 949-588-7262    Fax: 949-588-7260
Anna Yeung, D.O.
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Practice Location: 22921 Triton Way Ste 125, Laguna Hills, CA 92653
Phone: 949-366-1053    
Dr. Sara Etemad, M.D.
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Practice Location: 23961 Calle De La Magdalena, Laguna Hills, CA 92653
Phone: 949-238-4100    
Jose Fernando Velasquez, MD
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Practice Location: 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653
Phone: 949-215-5055    
David Rios, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 24953 Paseo De Valencia, Ste 4a, Laguna Hills, CA 92653
Phone: 949-837-7521    
Dr. Shahrokh Poormehr, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24953 Paseo De Valencia, #22a, Laguna Hills, CA 92653
Phone: 949-527-1828    Fax: 949-472-4126

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.