Blake Dalferes, is a medicare enrolled "Specialist/technologist - Athletic Trainer" in Jefferson, Louisiana. This provider graduated from nursing school in 2026 and has 0 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). This provider is a member of the group practice North Oaks Medical Center Llc and their current practice location is
620 Honore Dr, Jefferson, Louisiana. You can reach out to their office (for appointments etc.) via phone at
(985) 285-0675.
Blake Dalferes is licensed to practice in NU (license number ) and this provider also participates in the medicare program. This provider
accepts medicare assignments (which means this provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1023907888.
Provider's Profile
| Full Name | Blake Dalferes |
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| Gender | |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Location | 620 Honore Dr, Jefferson, Louisiana |
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| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Blake Dalferes graduated from nursing school in 2026
NPI Data:
- NPI Number: 1023907888
- Provider Enumeration Date: 06/28/2025
- Last Update Date: 05/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749751972
- Enrollment ID: I20260608004244
Medical Identifiers
Medical identifiers for Blake Dalferes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023907888 | NPI | - | NPPES |
| 217193 | Other | LA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 217193 (Louisiana) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| North Oaks Medical Center Llc | 2466629522 | 317 |
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. Blake Dalferes allows following entities to bill medicare on their behalf.
| Entity Name | North Oaks Medical Center LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
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| Entity Name | North Oaks Medical Center LLC |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1780868612 PECOS PAC ID: 2466629522 Enrollment ID: O20250612000174 |
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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. Blake Dalferes 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 |
Blake Dalferes, 620 Honore Dr, Jefferson, LA 70121-1607 Ph: (985) 285-0675 | Blake Dalferes, 620 Honore Dr, Jefferson, LA 70121-1607 Ph: (985) 285-0675 |
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