Dr Blake Jeffrey Illston, DO in Fort Gordon, GA

Dr Blake Jeffrey Illston, DO is a medicare enrolled "Emergency Medicine" physician in Fort Gordon, Georgia. His current practice location is 300 W Hospital Rd, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 787-9285.

Dr Blake Jeffrey Illston is licensed to practice in Georgia (license number 68035) 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 1487876355.

Contact Information

	Dr Blake Jeffrey Illston, DO
	300 W Hospital Rd, Fort Gordon, GA 30905-5741
	(706) 787-9285
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Blake Jeffrey Illston
Gender	Male
Speciality	Emergency Medicine
Location	300 W Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487876355
Provider Enumeration Date: 05/02/2007
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 5496806085
Enrollment ID: I20120711000446

Medical Identifiers

Medical identifiers for Dr Blake Jeffrey Illston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487876355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	RTP001882 (Georgia)	Secondary
207P00000X	Emergency Medicine	68035 (Georgia)	Primary

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 Jeffrey Illston 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 Jeffrey Illston, DO 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-9285	Dr Blake Jeffrey Illston, DO 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-9285

Reviews and Comments

Emergency Medicine Doctors in Fort Gordon, GA

Dr. Jared Allan Sutton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Hospital Road, Emergency Department, Fort Gordon, GA 30905 Phone: 605-520-1755
John C Beach, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 East Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-4657
Dr. Chris K Jensen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-5811
William Charles Arnett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-2264
Dr. Steven James Currier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Department Of Emergency Medicine, Fort Gordon, GA 30905 Phone: 706-787-2961 Fax: 706-787-2961
Zachary Sutton, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd Rm 5c-09, Fort Gordon, GA 30905 Phone: 706-787-1968

Dr Blake Jeffrey Illston, DO - Medicare Emergency Medicine in Fort Gordon, GA