Eugenia Blake, is a medicare enrolled "Advanced Practice Midwife" in Mt Pleasant, South Carolina. Her current practice location is
1300 Hospital Dr, Suite 270, Mt Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 884-5133.
Eugenia Blake is licensed to practice in South Carolina (license number 3452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104001551.
Provider's Profile
| Full Name | Eugenia Blake |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1300 Hospital Dr, Mt Pleasant, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104001551
- Provider Enumeration Date: 01/04/2008
- Last Update Date: 01/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 6901117613
- Enrollment ID: I20150623000478
Medical Identifiers
Medical identifiers for Eugenia Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104001551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 3452 (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. Eugenia Blake allows following entities to bill medicare on her behalf.
| Entity Name | Edmund Rhett, Jr., M.d., P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104997261
PECOS PAC ID: 2961404447
Enrollment ID: O20070213000385 |
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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. Eugenia 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 |
|---|
Eugenia Blake,
1300 Hospital Dr, Suite 270,
Mt Pleasant, SC 29464-3261
Ph: (843) 884-5133 | Eugenia Blake,
1300 Hospital Dr, Suite 270,
Mt Pleasant, SC 29464-3261
Ph: (843) 884-5133 |
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