Mr Blake William Bartholomew, is a medicare enrolled "Physician Assistant" provider in Vero Beach, Florida. His current practice location is
1265 36th St, Vero Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 567-6340.
Mr Blake William Bartholomew is licensed to practice in Florida (license number PAT9118141) 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 1821468893.
Healthcare Provider's Profile
Full Name | Mr Blake William Bartholomew |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 1265 36th St, Vero Beach, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821468893
- Provider Enumeration Date: 10/02/2015
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951753383
- Enrollment ID: I20240122000742
Medical Identifiers
Medical identifiers for Mr Blake William Bartholomew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821468893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PAT9118141 (Florida) | 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. Mr Blake William Bartholomew 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 |
Mr Blake William Bartholomew, 835 23rd Ave, Vero Beach, FL 32960-3950 Ph: (772) 473-1095 | Mr Blake William Bartholomew, 1265 36th St, Vero Beach, FL 32960-6574 Ph: (772) 567-6340 |
Reviews and Comments