Dr Blake Knudson Isom, DO in Harrisburg, PA - Medicare Emergency Medicine

Dr Blake Knudson Isom, DO is a medicare enrolled "Emergency Medicine" physician in Harrisburg, Pennsylvania. His current practice location is 111 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 988-0000.

Dr Blake Knudson Isom is licensed to practice in Pennsylvania (license number OS016812) 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 1336433788.

Contact Information

	Dr Blake Knudson Isom, DO
	111 S Front St, Harrisburg, PA 17101-2010
	(717) 988-0000
	(717) 782-5716

Map and Direction

Physician's Profile

Full Name	Dr Blake Knudson Isom
Gender	Male
Speciality	Emergency Medicine
Location	111 S Front St, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336433788
Provider Enumeration Date: 06/02/2011
Last Update Date: 01/16/2021

Medicare PECOS Information:

PECOS PAC ID: 9931327673
Enrollment ID: I20140821002208

Medical Identifiers

Medical identifiers for Dr Blake Knudson Isom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336433788	NPI	-	NPPES
102949254	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS016812 (Pennsylvania)	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. Dr Blake Knudson Isom allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Health Emergency Department Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487693404 PECOS PAC ID: 0143124701 Enrollment ID: O20031125000218

Entity Name	Pinnacle Health Observation Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316341241 PECOS PAC ID: 9537481528 Enrollment ID: O20141202001034

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 Knudson Isom 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
Dr Blake Knudson Isom, DO 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: () -	Dr Blake Knudson Isom, DO 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 988-0000

Reviews and Comments

Emergency Medicine Doctors in Harrisburg, PA

Joseph Eli Benaknin, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5908 Fax: 717-782-5716
Dr. Katie J Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716
Dr. Andrea Marguerite Sterste, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716
Dr. Gerald Edward Fronko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716
Dr. Tyler Thomas Hempel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716
Dr. Mary M Bonar, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716
Dr. Courtney A Devlin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716

Dr Blake Knudson Isom, DO - Medicare Emergency Medicine in Harrisburg, PA