Adam Gary Blake, LCSW in Lawrenceville, NJ - Medicare Social Worker Provider

Adam Gary Blake, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lawrenceville, New Jersey. His current practice location is 4 Princess Rd Ste 206, Lawrenceville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 482-3701.

Adam Gary Blake is licensed to practice in New Jersey (license number 44SC05869800) 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 1609437227.

Contact Information

	Adam Gary Blake, LCSW
	4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322
	(609) 482-3701
	(609) 482-3702

Map and Direction

Healthcare Provider's Profile

Full Name	Adam Gary Blake
Gender	Male
Speciality	Social Worker - Clinical
Location	4 Princess Rd Ste 206, Lawrenceville, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609437227
Provider Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6406217694
Enrollment ID: I20230803004048

Medical Identifiers

Medical identifiers for Adam Gary Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609437227	NPI	-	NPPES
44SC05869800	Other	NJ	LICENSED CLINICAL SOCIAL WORKER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05869800 (New Jersey)	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. Adam Gary Blake allows following entities to bill medicare on his behalf.

Entity Name	Lifeback Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780015412 PECOS PAC ID: 7214396613 Enrollment ID: O20230703001729

Entity Name	Better Be Blake Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487345955 PECOS PAC ID: 1951741339 Enrollment ID: O20240502001060

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. Adam Gary 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
Adam Gary Blake, LCSW 4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 Ph: (609) 482-3701	Adam Gary Blake, LCSW 4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 Ph: (609) 482-3701

Reviews and Comments

Social Worker in Lawrenceville, NJ

David Albert Kensler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2550 Brunswick Pike, Lawrenceville, NJ 08648 Phone: 609-396-8877
Emily Jalajas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701
Gregory Smola, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701
Jennifer L Ditrapani, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Gordon Ave, Lawrenceville, NJ 08648 Phone: 609-844-0452
Mr. Joseph Mcbride, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2999 Princeton Pike, Suite 5, Lawrenceville, NJ 08648 Phone: 609-771-6737 Fax: 609-882-9462
Ms. Rosemary Orocchi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Princeton Pike, Suite 4c, Lawrenceville, NJ 08648 Phone: 609-216-2086 Fax: 609-324-3855
Mischelle Kristofor, LCSW,LCADC,CCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Princess Rd Ste 208, Lawrenceville, NJ 08648 Phone: 561-865-5896

Adam Gary Blake, LCSW - Medicare Clinical Social Worker in Lawrenceville, NJ