Dr Blake Allen Wood, DNAP, CRNA in Colton, CA - Medicare Nurse Anesthetist, Certified Registered

Dr Blake Allen Wood, DNAP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-1000.

Dr Blake Allen Wood is licensed to practice in Texas (license number 138804) 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 1093451718.

Contact Information

	Dr Blake Allen Wood, DNAP, CRNA
	400 N Pepper Ave, Colton, CA 92324-1819
	(909) 580-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Blake Allen Wood
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093451718
Provider Enumeration Date: 05/05/2022
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5193193621
Enrollment ID: I20231108000868

Medical Identifiers

Medical identifiers for Dr Blake Allen Wood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093451718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	95117961 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	138804 (Texas)	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. Dr Blake Allen Wood allows following entities to bill medicare on his behalf.

Entity Name	Inland Empire Anesthesia Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861502841 PECOS PAC ID: 1052310331 Enrollment ID: O20061214000268

Entity Name	Sda Services Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417428970 PECOS PAC ID: 5496094823 Enrollment ID: O20190302000074

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. Dr Blake Allen Wood 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
Dr Blake Allen Wood, DNAP, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001	Dr Blake Allen Wood, DNAP, CRNA 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Joyce Israel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440

Dr Blake Allen Wood, DNAP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Colton, CA