Mrs Tracy R Blake, RD in Orland Park, IL - Medicare Registered Dietitian Or Nutrition Professional Provider

Mrs Tracy R Blake, RD is a medicare enrolled "Dietitian, Registered" provider in Orland Park, Illinois. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Central Dupage Physician Group and her current practice location is 15300 West Ave Ste 221, Orland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 590-5300.

Mrs Tracy R Blake is licensed to practice in Illinois (license number 164.004441) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851570436.

Contact Information

	Mrs Tracy R Blake, RD
	15300 West Ave Ste 221, Orland Park, IL 60462-4508
	(708) 590-5300
	(708) 590-5310

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy R Blake
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	21 Years
Location	15300 West Ave Ste 221, Orland Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tracy R Blake graduated from medical school in 2003

NPI Data:

NPI Number: 1851570436
Provider Enumeration Date: 10/30/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 7517140981
Enrollment ID: I20110322000696

Medical Identifiers

Medical identifiers for Mrs Tracy R Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851570436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.004441 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Dupage Physician Group	5890696231	977

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. Mrs Tracy R Blake allows following entities to bill medicare on her behalf.

Provider Name	Central Dupage Physician Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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. Mrs Tracy R 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
Mrs Tracy R Blake, RD 15300 West Ave Ste 221, Orland Park, IL 60462-4508 Ph: (708) 590-5300	Mrs Tracy R Blake, RD 15300 West Ave Ste 221, Orland Park, IL 60462-4508 Ph: (708) 590-5300

Reviews and Comments

Dietitian, Registered in Orland Park, IL

Veronica Lode, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11601 Hidden Valley Cv, Orland Park, IL 60467 Phone: 708-205-4035
Ms. Rawan Zayyat, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15640 Heatherglen Dr, Orland Park, IL 60462 Phone: 708-668-8882
Joy Mattson-petrusha, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 221, Orland Park, IL 60462 Phone: 708-590-5300 Fax: 708-590-5310
Manipura Centre For Women's Health Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9750 Crescent Park Cir Unit 255, Orland Park, IL 60462 Phone: 800-209-5139
Norma Ponce De Leon, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10628 W 154th Pl, Orland Park, IL 60462 Phone: 773-895-3214
Lauren Renee Usauskas, RDN, LDN, CD Dietitian Medicare: Medicare Enrolled Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-873-2502
Katherine Whited, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 15300 West Ave Ste 108, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319

Mrs Tracy R Blake, RD - Medicare Dietitian in Orland Park, IL