Blake Anderson, is a
Student In An Organized Health Care Education/training Program physician based in Idaho Falls, Idaho. Blake Anderson is licensed to practice in * (Not Available) (license number ) and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 227-2850.
NPI number for Blake Anderson is 1063271641 and his current mailing address is 3100 Channing Way, Idaho Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063271641.
Physician's Profile
| Full Name | Blake Anderson |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3100 Channing Way, Idaho Falls, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063271641
- Provider Enumeration Date: 03/18/2024
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Blake Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063271641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MRO-2400 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Blake Anderson 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 |
|---|
Blake Anderson,
3100 Channing Way,
Idaho Falls, ID 83404-7533
Ph: () - | Blake Anderson,
3100 Channing Way,
Idaho Falls, ID 83404-7533
Ph: (208) 227-2850 |
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