Blake Lawrence, in Pleasant Grove, UT - Medicare Nurse Practitioner

Blake Lawrence, is a medicare enrolled "Nurse Practitioner" in Pleasant Grove, Utah. His current practice location is 2100 W Pleasant Grove Blvd Ste 270, Pleasant Grove, Utah. You can reach out to his office (for appointments etc.) via phone at (208) 316-9539.

Blake Lawrence is licensed to practice in Utah (license number 12078815-4405) 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 1902314289.

Contact Information

	Blake Lawrence,
	2100 W Pleasant Grove Blvd Ste 270, Pleasant Grove, UT 84062-3375
	(208) 316-9539
	Not Available

Map and Direction

Provider's Profile

Full Name	Blake Lawrence
Gender	Male
Speciality	Nurse Practitioner
Location	2100 W Pleasant Grove Blvd Ste 270, Pleasant Grove, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902314289
Provider Enumeration Date: 01/20/2018
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1850833187
Enrollment ID: I20240603000784

Medical Identifiers

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

Identifier	Type	State	Issuer
1902314289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12078815-4405 (Utah)	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. Blake Lawrence allows following entities to bill medicare on his behalf.

Entity Name	Livi Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457667750 PECOS PAC ID: 8820283039 Enrollment ID: O20211001001268

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 Lawrence 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 Lawrence, 634 S 1870 W, Orem, UT 84059-4963 Ph: (208) 316-9539	Blake Lawrence, 2100 W Pleasant Grove Blvd Ste 270, Pleasant Grove, UT 84062-3375 Ph: (208) 316-9539

Reviews and Comments

Nurse Practitioner Nurses in Pleasant Grove, UT

Nichole Chalise Nelson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062 Phone: --
Carissa Robinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 S Valley Grove Way Ste 160, Pleasant Grove, UT 84062 Phone: 801-477-7189 Fax: 888-745-9274
Rachel Maria Hogan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 E 260 S, Pleasant Grove, UT 84062 Phone: 801-358-2137
Monica Constanza Bruna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-757-3511
Carol Ann Graff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1886 W 800 N, Pleasant Grove, UT 84062 Phone: 801-429-8000
Ruth A Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705
Dr. Brianna Lastre, DNP, WHNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 Phone: 801-785-5100

Blake Lawrence, - Medicare Nurse Practitioner in Pleasant Grove, UT