Stephen David Blake, MD in Spartanburg, SC

Stephen David Blake, MD is a medicare enrolled "Pediatrics" physician in Spartanburg, South Carolina. His current practice location is 249 N Grove Medical Park Dr Ste 100, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 582-8135.

Stephen David Blake is licensed to practice in South Carolina (license number 26859) 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 1538111588.

Contact Information

	Stephen David Blake, MD
	249 N Grove Medical Park Dr Ste 100, Spartanburg, SC 29303-4227
	(864) 582-8135
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephen David Blake
Gender	Male
Speciality	Pediatrics
Location	249 N Grove Medical Park Dr Ste 100, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538111588
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 3375648850
Enrollment ID: I20070411000203

Medical Identifiers

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

Identifier	Type	State	Issuer
1538111588	NPI	-	NPPES
268597	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	26859 (South Carolina)	Secondary
208000000X	Pediatrics	26859 (South Carolina)	Primary

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

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Stephen 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
Stephen David Blake, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Stephen David Blake, MD 249 N Grove Medical Park Dr Ste 100, Spartanburg, SC 29303-4227 Ph: (864) 582-8135

Reviews and Comments

Pediatrics Doctors in Spartanburg, SC

Dr. Marcia L Parra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-560-9600 Fax: 864-560-9613
Mrs. Donna Payne Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-562-5400 Fax: 864-562-5430
Everett Lee Belvin Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757
Ernest N Mistr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303 Phone: 864-560-6345
Mrs. Alanna Ahlers Nutz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Reidville Rd, Suite B, Spartanburg, SC 29301 Phone: 864-272-0388 Fax: 864-213-9237
Christine Hidalgo Philpott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Broad St, Spartanburg, SC 29306 Phone: 864-707-2135 Fax: 864-707-2136
George Chester Glenn Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757

Stephen David Blake, MD - Medicare Pediatrics in Spartanburg, SC