Dr Brett Patrick Blake, MD in Lecanto, FL

Dr Brett Patrick Blake, MD is a medicare enrolled "Dermatology" physician in Lecanto, Florida. He went to University Of South Florida College Of Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Aqua Dermatology Of Florida, Pa and his current practice location is 525 N Dacie Pt, Lecanto, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 321-1786.

Dr Brett Patrick Blake is licensed to practice in Florida (license number ME125767) 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 1376772707.

Contact Information

	Dr Brett Patrick Blake, MD
	525 N Dacie Pt, Lecanto, FL 34461-8399
	(813) 321-1786
	(813) 321-1787

Map and Direction

Physician's Profile

Full Name	Dr Brett Patrick Blake
Gender	Male
Speciality	Dermatology
Experience	17 Years
Location	525 N Dacie Pt, Lecanto, Florida
Accepts Medicare Assignments	Yes. 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 Brett Patrick Blake attended and graduated from University Of South Florida College Of Medicine in 2009

NPI Data:

NPI Number: 1376772707
Provider Enumeration Date: 07/07/2009
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2860632775
Enrollment ID: I20160113000570

Medical Identifiers

Medical identifiers for Dr Brett Patrick Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376772707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	ME125767 (Florida)	Primary
207ND0101X	Dermatology - Mohs-micrographic Surgery	ME125767 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aqua Dermatology Of Florida, Pa	1153390414	172

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 Brett Patrick Blake allows following entities to bill medicare on his behalf.

Entity Name	Aqua Dermatology Of Florida, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097

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 Brett Patrick 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
Dr Brett Patrick Blake, MD 18228 N Us Highway 41, Lutz, FL 33549-4400 Ph: (813) 321-1786	Dr Brett Patrick Blake, MD 525 N Dacie Pt, Lecanto, FL 34461-8399 Ph: (813) 321-1786

Reviews and Comments

Dermatology Doctors in Lecanto, FL

Dr. William Arch Welton Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320
Dr. Margaret Anne Collins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320
Dr. Ralph Eugene Massullo Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320

Dr Brett Patrick Blake, MD - Medicare Dermatology in Lecanto, FL