Blake Alexander Evans, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Albany, Oregon. His current practice location is
400 Hickory St Nw, Albany, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 812-5840.
Blake Alexander Evans is licensed to practice in Oregon (license number 64405) 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 1285365734.
Physician's Profile
| Full Name | Blake Alexander Evans |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 400 Hickory St Nw, Albany, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285365734
- Provider Enumeration Date: 06/23/2022
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698158517
- Enrollment ID: I20220810001210
Medical Identifiers
Medical identifiers for Blake Alexander Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285365734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 64405 (Oregon) | 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. Blake Alexander Evans allows following entities to bill medicare on his behalf.
| Entity Name | Albany General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310 |
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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 Alexander Evans 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 |
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Blake Alexander Evans,
Po Box 1188,
Corvallis, OR 97339-1188
Ph: () - | Blake Alexander Evans,
400 Hickory St Nw,
Albany, OR 97321-1700
Ph: (541) 812-5840 |
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