Dr Dudley David Blake, PHD - Medicare Psychologist in Boise, ID

Dr Dudley David Blake, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boise, Idaho. His current practice location is Boise Va Medical Center, 500 West Fort Street, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1125.

Dr Dudley David Blake is licensed to practice in Idaho (license number PSY313) 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 1578676714.

Contact Information

Dr Dudley David Blake, PHD
Boise Va Medical Center, 500 West Fort Street,
Boise, ID 83701-4598
(208) 422-1125
(208) 422-1164

Map and Direction




Healthcare Provider's Profile

Full NameDr Dudley David Blake
GenderMale
SpecialityPsychologist - Clinical
LocationBoise Va Medical Center, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578676714
  • Provider Enumeration Date: 08/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779801626
  • Enrollment ID: I20150406001320

Medical Identifiers

Medical identifiers for Dr Dudley David Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578676714NPI-NPPES
PSY313OtherIDSTATE PSYCHOLOGY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY313 (Idaho)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. Dr Dudley David 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
Dr Dudley David Blake, PHD
701 E Jefferson St,
Boise, ID 83712-6413

Ph: (208) 336-0461
Dr Dudley David Blake, PHD
Boise Va Medical Center, 500 West Fort Street,
Boise, ID 83701-4598

Ph: (208) 422-1125

Reviews and Comments


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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.

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