Dr Bryan David Blake, MD in Lithia Springs, GA

Dr Bryan David Blake, MD is a medicare enrolled "Family Medicine" physician in Lithia Springs, Georgia. He went to Morehouse School Of Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. His current practice location is 939 Thornton Rd, Lithia Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 948-5400.

Dr Bryan David Blake is licensed to practice in Georgia (license number 040613) 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 1316930118.

Contact Information

	Dr Bryan David Blake, MD
	939 Thornton Rd, Lithia Springs, GA 30122-2634
	(770) 948-5400
	(770) 948-4930

Map and Direction

Physician's Profile

Full Name	Dr Bryan David Blake
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	939 Thornton Rd, Lithia Springs, Georgia
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 Bryan David Blake attended and graduated from Morehouse School Of Medicine in 1993

NPI Data:

NPI Number: 1316930118
Provider Enumeration Date: 08/26/2005
Last Update Date: 06/30/2020

Medicare PECOS Information:

PECOS PAC ID: 6507757150
Enrollment ID: I20040323000644

Medical Identifiers

Medical identifiers for Dr Bryan David Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316930118	NPI	-	NPPES
00687409D	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	040613 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Of Georgia	Atlanta, GA	Hospice
Wellstar Douglas Hospital	Douglasville, GA	Hospital

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 Bryan David Blake allows following entities to bill medicare on his behalf.

Entity Name	Family First Healthcare P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730315870 PECOS PAC ID: 7810047974 Enrollment ID: O20090610000649

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 Bryan David 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 Bryan David Blake, MD 939 Thornton Rd, Lithia Springs, GA 30122-2634 Ph: (770) 948-5400	Dr Bryan David Blake, MD 939 Thornton Rd, Lithia Springs, GA 30122-2634 Ph: (770) 948-5400

Reviews and Comments

Family Medicine Doctors in Lithia Springs, GA

Mr. Millard James Collier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Thornton Rd, Lithia Springs, GA 30122 Phone: 770-948-5400 Fax: 770-948-4930
Temeka L Johnson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Rock Hill Pkwy, Lithia Springs, GA 30122 Phone: 770-878-2997
Sarita Nikki Harris-hackett, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 Thornton Rd Ste C, Lithia Springs, GA 30122 Phone: 770-927-7341

Dr Bryan David Blake, MD - Medicare Family Practice in Lithia Springs, GA