Madeline Elyce Blake, RN is a
Registered Nurse - Medical-surgical based in Culloden, West Virginia. Madeline Elyce Blake is licensed to practice in West Virginia (license number 116163) and her current practice location is
153 Gordon St, Culloden, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 550-9610.
NPI number for Madeline Elyce Blake is 1609733930 and her current mailing address is 153 Gordon St, Culloden, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609733930.
Provider's Profile
| Full Name | Madeline Elyce Blake |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Medical-surgical |
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| Location | 153 Gordon St, Culloden, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609733930
- Provider Enumeration Date: 01/08/2026
- Last Update Date: 01/08/2026
Medical Identifiers
Medical identifiers for Madeline Elyce Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609733930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WM0705X | Registered Nurse - Medical-surgical | 116163 (West Virginia) | Primary |
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. Madeline Elyce Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Madeline Elyce Blake, RN 153 Gordon St, Culloden, WV 25510-7436 Ph: () - | Madeline Elyce Blake, RN 153 Gordon St, Culloden, WV 25510-7436 Ph: (304) 550-9610 |
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