Zachary Ellis Blake, PA-C - Medicare Physician Assistant in Jefferson, LA

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Zachary Ellis Blake, PA-C is a medicare enrolled "Physician Assistant" in Jefferson, Louisiana. His current practice location is 1514 Jefferson Hwy, Jefferson, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 842-3000.

Zachary Ellis Blake is licensed to practice in Louisiana (license number 338274) 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 1437850674.

Contact Information

Zachary Ellis Blake, PA-C
1514 Jefferson Hwy,
Jefferson, LA 70121-2429
(504) 842-3000
Not Available

Map and Direction




Provider's Profile

Full NameZachary Ellis Blake
GenderMale
SpecialityPhysician Assistant
Location1514 Jefferson Hwy, Jefferson, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437850674
  • Provider Enumeration Date: 03/14/2023
  • Last Update Date: 09/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557716834
  • Enrollment ID: I20231005002372

Medical Identifiers

Medical identifiers for Zachary Ellis Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437850674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 338274 (Louisiana)Primary
363A00000XPhysician Assistant (NU)Secondary

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. Zachary Ellis Blake allows following entities to bill medicare on his behalf.
Entity NameOchsner Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513
Entity NameKenner Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013986546
PECOS PAC ID: 8426011230
Enrollment ID: O20041111000475
Entity NameSt. John Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265401509
PECOS PAC ID: 4082641303
Enrollment ID: O20050719000541
Entity NameBelle Chasse Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851714075
PECOS PAC ID: 7113140070
Enrollment ID: O20140521001580
Entity NameLuling Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528446101
PECOS PAC ID: 8325352636
Enrollment ID: O20150730013151
Entity NameVincent Emergency Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740816917
PECOS PAC ID: 0840621926
Enrollment ID: O20200505000479

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. Zachary Ellis 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 AddressPractice Location Address
Zachary Ellis Blake, PA-C
1514 Jefferson Hwy,
Jefferson, LA 70121-2429

Ph: (504) 842-4000		Zachary Ellis Blake, PA-C
1514 Jefferson Hwy,
Jefferson, LA 70121-2429

Ph: (504) 842-3000

Reviews and Comments


Physician Assistant Nurses in Jefferson, LA

Miss Heather Alexander, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 504-842-0434    
Katherine Broussard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 504-579-6504    
Jordan Owens, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 866-624-7637    
Sydney Forsythe, MPAS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 504-842-3000    
Kelly Kincaide, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 504-842-3000    
Varsha Castro Gusman,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121
Phone: 504-975-8259    
Rachel Abigail Mata,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1515 River Rd, Jefferson, LA 70121
Phone: 866-624-7637    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.