Dr Jonathan E Blake, DO is a medicare enrolled "Orthopaedic Surgery" physician in Harrison, Arkansas. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1995 and has 29 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ability Kc, North Arkansas Regional Medical Center and his current practice location is
1401 Hwy 65 North Suite 210, Harrison, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 414-5600.
Dr Jonathan E Blake is licensed to practice in Texas (license number T3745) 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 1598739708.
Physician's Profile
| Full Name | Dr Jonathan E Blake |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 29 Years |
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| Location | 1401 Hwy 65 North Suite 210, Harrison, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan E Blake attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1995
NPI Data:
- NPI Number: 1598739708
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709948102
- Enrollment ID: I20231121000282
Medical Identifiers
Medical identifiers for Dr Jonathan E Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598739708 | NPI | - | NPPES |
| 244982104 | Medicaid | MO | |
| 6400000 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 133417 (Illinois) | Secondary |
| 207X00000X | Orthopaedic Surgery | 7833 (South Dakota) | Secondary |
| 207X00000X | Orthopaedic Surgery | T3745 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ability Kc | 0143116368 | 64 |
| North Arkansas Regional Medical Center | 5193615896 | 60 |
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 Jonathan E Blake allows following entities to bill medicare on his behalf.
| Entity Name | North Arkansas Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376817304
PECOS PAC ID: 5193615896
Enrollment ID: O20111110000653 |
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| Entity Name | North Arkansas Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780941625
PECOS PAC ID: 5193615896
Enrollment ID: O20120612000562 |
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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 Jonathan E 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 Jonathan E Blake, DO
1401 Hwy 65 North Suite 210,
Harrison, AR 72601
Ph: (870) 414-5600 | Dr Jonathan E Blake, DO
1401 Hwy 65 North Suite 210,
Harrison, AR 72601
Ph: (870) 414-5600 |
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