Dr Susan Elizabeth Blake, DMD is a
Dentist based in Troy, Virginia. Dr Susan Elizabeth Blake is licensed to practice in Virginia (license number 0401008275) and her current practice location is
Fluvanna Correctional Center, Route 250 East, Troy, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 984-3700.
NPI number for Dr Susan Elizabeth Blake is 1669694253 and her current mailing address is 852 Jefferson Dr E, Palmyra, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669694253.
Healthcare Provider's Profile
Full Name | Dr Susan Elizabeth Blake |
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Gender | Female |
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Speciality | Dentist |
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Location | Fluvanna Correctional Center, Troy, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669694253
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Susan Elizabeth Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669694253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 0401008275 (Virginia) | 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 Susan Elizabeth Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Susan Elizabeth Blake, DMD 852 Jefferson Dr E, Palmyra, VA 22963-3302 Ph: (434) 591-0168 | Dr Susan Elizabeth Blake, DMD Fluvanna Correctional Center, Route 250 East, Troy, VA 22974 Ph: (434) 984-3700 |
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