Canaan Blake, FNP in Durham, NC - Medicare Nurse Practitioner

Canaan Blake, FNP is a medicare enrolled "Nurse Practitioner" in Durham, North Carolina. His current practice location is 2511 Old Cornwallis Rd, Suite 200, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 932-5700.

Canaan Blake is licensed to practice in North Carolina (license number 280433) 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 1407211329.

Contact Information

	Canaan Blake, FNP
	2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869
	(919) 932-5700
	(919) 933-6881

Map and Direction

Provider's Profile

Full Name	Canaan Blake
Gender	Male
Speciality	Nurse Practitioner
Location	2511 Old Cornwallis Rd, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407211329
Provider Enumeration Date: 12/18/2015
Last Update Date: 12/18/2015

Medicare PECOS Information:

PECOS PAC ID: 7012212483
Enrollment ID: I20230615000991

Medical Identifiers

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

Identifier	Type	State	Issuer
1407211329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	280433 (North 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. Canaan Blake allows following entities to bill medicare on his behalf.

Entity Name	University Clinical Education & Research Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013966845 PECOS PAC ID: 1658275847 Enrollment ID: O20031120000276

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. Canaan 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
Canaan Blake, FNP 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 Ph: (919) 932-5700	Canaan Blake, FNP 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 Ph: (919) 932-5700

Reviews and Comments

Nurse Practitioner Nurses in Durham, NC

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Mrs. Jaimie Ann Devine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 W Main St Ste 18a, Durham, NC 27701 Phone: 888-663-6331
Priscila M Tomlin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8315 Morrell Ln, Durham, NC 27713 Phone: 919-491-4661
Josephine Winifred Hazeley, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707 Phone: 919-275-1405

Canaan Blake, FNP - Medicare Nurse Practitioner in Durham, NC