Stephen David Blake, MD in Lexington, KY

Stephen David Blake, MD is a medicare enrolled "Pediatrics" physician in Lexington, Kentucky. His current practice location is 2400 Greatstone Pt Fl 2, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-6211.

Stephen David Blake is licensed to practice in Kentucky (license number 37617) 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
	2400 Greatstone Pt Fl 2, Lexington, KY 40504-3274
	(859) 323-6211
	(859) 257-7706

Map and Direction

Physician's Profile

Full Name	Stephen David Blake
Gender	Male
Speciality	Pediatrics
Location	2400 Greatstone Pt Fl 2, Lexington, Kentucky
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: 10/29/2025

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
208000000X	Pediatrics	37617 (Kentucky)	Primary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	26859 (South Carolina)	Secondary
208000000X	Pediatrics	26859 (South Carolina)	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. 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 2400 Greatstone Pt Fl 2, Lexington, KY 40504-3274 Ph: () -	Stephen David Blake, MD 2400 Greatstone Pt Fl 2, Lexington, KY 40504-3274 Ph: (859) 323-6211

Reviews and Comments

Pediatrics Doctors in Lexington, KY

Preeti Ramachandran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Rose St Fl Ha4, Lexington, KY 40536 Phone: 859-323-6754 Fax: 859-323-6754
Robin L Feese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1780 Nicholasville Rd, Ste 301, Lexington, KY 40503 Phone: 859-277-6636 Fax: 859-277-1455
Dr. Mina Hazem Halim Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Rose St # Ms 471, Lexington, KY 40536 Phone: 248-854-3120 Fax: 859-323-8031
Jacob A Bishop, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 245 Fountain Ct, Lexington, KY 40509 Phone: 859-323-6861
Donna Glandon Grigsby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5481
Dr. John Charles Vance, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 Nicholasville Rd, Suite 406, Lexington, KY 40503 Phone: 859-276-1221 Fax: 859-278-0047
Dr. Kimberly Renee Dennis Northrip, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, J426, Lexington, KY 40536 Phone: 859-323-6426

Stephen David Blake, MD - Medicare Pediatrics in Lexington, KY