Holli Blake, in Wasilla, AK - Medicare Social Worker Provider

Holli Blake, is a medicare enrolled "Social Worker - Clinical" provider in Wasilla, Alaska. Her current practice location is 1001 S Knik Goose Bay Rd, Wasilla, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 631-7800.

Holli Blake is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417518143.

Contact Information

	Holli Blake,
	1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083
	(907) 631-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Holli Blake
Gender	Female
Speciality	Social Worker - Clinical
Location	1001 S Knik Goose Bay Rd, Wasilla, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417518143
Provider Enumeration Date: 06/24/2019
Last Update Date: 06/24/2019

Medicare PECOS Information:

PECOS PAC ID: 7719340652
Enrollment ID: I20230825000942

Medical Identifiers

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

Identifier	Type	State	Issuer
1417518143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Holli Blake allows following entities to bill medicare on her behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

Entity Name	Southcentral Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416

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. Holli 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
Holli Blake, 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: (907) 729-0000	Holli Blake, 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 631-7800

Reviews and Comments

Social Worker in Wasilla, AK

Miss Robin Bayard Hughes, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3363
Mary S Grasmick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1981 E Palmer Wasilla Hwy Ste 200, Wasilla, AK 99654 Phone: 907-802-2493
Ms. Kim-sandy Kline, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4900 E Palmer Wasilla Hwy, Suite 120, Wasilla, AK 99654 Phone: 907-982-2146
Amanda Mae Rose, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3223 E Palmer Wasilla Hwy Ste 4, Wasilla, AK 99654 Phone: 907-631-6300
Dr. Ann Marie Yaros, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1261 S Seward Meridian Rd, Wasilla, AK 99654 Phone: 907-357-7550
Lorelei Crewdson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-352-3252
Isaac Dine'h Winters, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 E Danna Ave, Wasilla, AK 99654 Phone: 907-357-7519

Holli Blake, - Medicare Clinical Social Worker in Wasilla, AK