Dr Paul Maxwell Blake Iii, MD in Crystal River, FL

Dr Paul Maxwell Blake Iii, MD is a medicare enrolled "Internal Medicine" physician in Crystal River, Florida. His current practice location is 6201 N Suncoast Blvd, Crystal River, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 795-8490.

Dr Paul Maxwell Blake Iii is licensed to practice in Florida (license number ME143213) 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 1366470148.

Contact Information

	Dr Paul Maxwell Blake Iii, MD
	6201 N Suncoast Blvd, Crystal River, FL 34428-6712
	(352) 795-8490
	(352) 795-8555

Map and Direction

Physician's Profile

Full Name	Dr Paul Maxwell Blake Iii
Gender	Male
Speciality	Internal Medicine
Location	6201 N Suncoast Blvd, Crystal River, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366470148
Provider Enumeration Date: 06/29/2006
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 1153343777
Enrollment ID: I20051227000038

Medical Identifiers

Medical identifiers for Dr Paul Maxwell Blake Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366470148	NPI	-	NPPES
2341602	Medicaid	OH
1896405	Other	PA	HIGHMARK
181232700	Medicaid	WV
105606	Other	PA	MEDICARE
1017240800001	Medicaid	PA
64073695	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20938 (West Virginia)	Secondary
207R00000X	Internal Medicine	ME143213 (Florida)	Primary
207R00000X	Internal Medicine	MD429954 (Pennsylvania)	Secondary

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 Paul Maxwell Blake Iii allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Medicine Physicians Of West Virginia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157

Entity Name	Allied West Virginia Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514

Entity Name	Racine Observation Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225

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 Paul Maxwell Blake Iii 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 Paul Maxwell Blake Iii, MD Po Box 640573, Beverly Hills, FL 34464-0573 Ph: (352) 795-8490	Dr Paul Maxwell Blake Iii, MD 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 Ph: (352) 795-8490

Reviews and Comments

Internal Medicine Doctors in Crystal River, FL

Dr. Purnachander R Bikkasani, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-563-2450 Fax: 352-563-2512
Dr. Lakshmipathi R Reddi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-563-2450 Fax: 352-563-2512
Dr. Angela Acevedo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6202 W Corporate Oaks Dr, Crystal River, FL 34429 Phone: 352-795-9697 Fax: 352-795-9698
Dr. Craig Warren Englund, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 Se 5th Ter, Crystal River, FL 34429 Phone: 352-795-6674
Dr. Sunoj Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5616 W Norvell Bryant Hwy, Crystal River, FL 34429 Phone: 352-795-1999 Fax: 352-795-2269
Srinivas Sanka, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Se 5th Terrace, Crystal River, FL 34429 Phone: 352-699-2040 Fax: 352-699-2042
Dr. Padma Venuaopala Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7415 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-795-1415 Fax: 352-795-6801

Dr Paul Maxwell Blake Iii, MD - Medicare Internal Medicine in Crystal River, FL