Dr Blake St Louis, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St Box 800710, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 982-0629.
Dr Blake St Louis is licensed to practice in Virginia (license number 0102209218) 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 1083281554.
Physician's Profile
| Full Name | Dr Blake St Louis |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1215 Lee St Box 800710, Charlottesville, Virginia |
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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: 1083281554
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 06/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850793217
- Enrollment ID: I20210708001449
Medical Identifiers
Medical identifiers for Dr Blake St Louis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083281554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 0102209218 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 12877 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0102209218 (Virginia) | 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 St Louis 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 St Louis, DO
1215 Lee St Box 800710,
Charlottesville, VA 22908-0816
Ph: (434) 982-0629 | Dr Blake St Louis, DO
1215 Lee St Box 800710,
Charlottesville, VA 22908-0816
Ph: (434) 982-0629 |
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