Blake A Spain, MD in Concord, NC - Medicare Internal Medicine

Blake A Spain, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Concord, North Carolina. He went to Indiana University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Intensive Care Consortium Inc and his current practice location is 920 Church St N, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 403-1331.

Blake A Spain is licensed to practice in North Carolina (license number 9800704) 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 1952416331.

Contact Information

	Blake A Spain, MD
	920 Church St N, Concord, NC 28025-2927
	(704) 403-1331
	(704) 403-2533

Map and Direction

Physician's Profile

Full Name	Blake A Spain
Gender	Male
Speciality	Internal Medicine
Experience	35 Years
Location	920 Church St N, Concord, North Carolina
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:

Blake A Spain attended and graduated from Indiana University School Of Medicine in 1989

NPI Data:

NPI Number: 1952416331
Provider Enumeration Date: 08/19/2006
Last Update Date: 01/24/2022

Medicare PECOS Information:

PECOS PAC ID: 7214020429
Enrollment ID: I20160415001395

Medical Identifiers

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

Identifier	Type	State	Issuer
1952416331	NPI	-	NPPES
1053H	Other	NC	BCBS ALL PLANS
9840261	Other		CIGNA HEALTHCARE
791053H	Medicaid	NC
1281816	Other		UNITED HEALTHCARE
200322	Other		MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	9800704 (North Carolina)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	9800704 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brandon Regional Hospital	Brandon, FL	Hospital
Regional Medical Center Bayonet Point	Hudson, FL	Hospital
South Bay Hospital	Sun city center, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	376

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. Blake A Spain allows following entities to bill medicare on his behalf.

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883

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. Blake A Spain 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
Blake A Spain, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-1331	Blake A Spain, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-1331

Reviews and Comments

Internal Medicine Doctors in Concord, NC

Leonard Alexander Stallings, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Dr. Vinay Patel, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1070 Vinehaven Dr Ne, Concord, NC 28025 Phone: 704-783-1840 Fax: 704-783-1850
Aishwarya Palwai, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Meghan Rebecca Steiner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 110, Concord, NC 28025 Phone: 704-403-1370
Ashley Noisette Green, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 330, Concord, NC 28025 Phone: 704-403-1308
Mr. Ravenodell Garrity, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 360 Exchange St Nw Apt 207, Concord, NC 28027 Phone: 980-925-0852
Stephen Sean Zouzoulas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 210, Concord, NC 28025 Phone: 704-403-6100

Blake A Spain, MD - Medicare Internal Medicine in Concord, NC