Samuel S Blake, MD - Medicare Family Practice in American Fork, UT

Samuel S Blake, MD is a medicare enrolled "Family Medicine" physician in American Fork, Utah. He went to University Of Vermont College Of Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ihc Health Services Inc and his current practice location is 98 N 1100 E Ste 101, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 492-2550.

Samuel S Blake is licensed to practice in Utah (license number 8631872-1205) 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 1518194687.

Contact Information

Samuel S Blake, MD
98 N 1100 E Ste 101,
American Fork, UT 84003-2940
(801) 492-2550
(801) 492-2576

Map and Direction




Physician's Profile

Full NameSamuel S Blake
GenderMale
SpecialityFamily Practice
Experience17 Years
Location98 N 1100 E Ste 101, American Fork, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel S Blake attended and graduated from University Of Vermont College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1518194687
  • Provider Enumeration Date: 06/16/2009
  • Last Update Date: 06/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5991961997
  • Enrollment ID: I20130717000591

Medical Identifiers

Medical identifiers for Samuel S Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518194687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD60243907 (Washington)Secondary
207Q00000XFamily Medicine 8631872-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ihc Health Services Inc18502094203956

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. Samuel S Blake allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Samuel S 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 AddressPractice Location Address
Samuel S Blake, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 492-2550
Samuel S Blake, MD
98 N 1100 E Ste 101,
American Fork, UT 84003-2940

Ph: (801) 492-2550

Reviews and Comments


Family Medicine Doctors in American Fork, UT

Michael L Cosgrave, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003
Phone: 801-855-3844    Fax: 801-855-3854
Douglas R Mower, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003
Phone: 801-855-3841    Fax: 801-855-3847
Dean Ross Cranney, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1062 E 220 S, American Fork, UT 84003
Phone: 801-457-6503    Fax: 801-640-7519
Kenneth Joe Murdock, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003
Phone: 801-855-3841    Fax: 801-855-3854
Dr. Jennifer Sariah Gilbert, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 98 N 1100 E Ste 101, American Fork, UT 84003
Phone: 801-492-2550    Fax: 801-492-2576
David K Hafen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 226 N 1100 E, Suite A, American Fork, UT 84003
Phone: 801-855-3850    Fax: 801-855-3854
Andrew Reid Smith,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 98 N 1100 E Ste 101, American Fork, UT 84003
Phone: 801-492-2550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.