Jeffrey Blake, LCSW in Portland, ME - Medicare Clinical Social Worker Provider

Jeffrey Blake, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 22 Monument Square, #403, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 749-9075.

Jeffrey Blake is licensed to practice in Maine (license number LC9874) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003827239.

Contact Information

	Jeffrey Blake, LCSW
	22 Monument Square, #403, Portland, ME 04101-3914
	(207) 749-9075
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Blake
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	22 Monument Square, Portland, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey Blake graduated from medical school in 2003

NPI Data:

NPI Number: 1003827239
Provider Enumeration Date: 08/11/2006
Last Update Date: 03/11/2013

Medicare PECOS Information:

PECOS PAC ID: 6709817984
Enrollment ID: I20050826000876

Medical Identifiers

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

Identifier	Type	State	Issuer
1003827239	NPI	-	NPPES
325620099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC9874 (Maine)	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. Jeffrey Blake allows following entities to bill medicare on his behalf.

Entity Name	Spurwink Services Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272

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. Jeffrey 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
Jeffrey Blake, LCSW 22 Monument Sq, #403, Portland, ME 04101-4082 Ph: (207) 749-9075	Jeffrey Blake, LCSW 22 Monument Square, #403, Portland, ME 04101-3914 Ph: (207) 749-9075

Reviews and Comments

Social Worker in Portland, ME

Mrs. Rebecca L Drouin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235
Alicia M Willis, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bishop St, Portland, ME 04103 Phone: 207-871-1235 Fax: 207-879-6161
Mr. Lytfi Volksmyth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 High St Ste 205, Portland, ME 04101 Phone: 207-329-9987
Rhonda L Benner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Melissa Mcstay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Stevens Ave, Portland, ME 04103 Phone: 207-874-8260
Albert M Durgin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Continental Dr, Portland, ME 04103 Phone: 207-797-5176

Jeffrey Blake, LCSW - Medicare Clinical Social Worker in Portland, ME