Blake Austin Harrell, DO is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Jbsa Lackland Afb, Texas. Blake Austin Harrell is licensed to practice in Virginia (license number 0102206355) and his current practice location is 1100 Wilford Hall Loop, Jbsa Lackland Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 292-7361.
NPI number for Blake Austin Harrell is 1144782731 and his current mailing address is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144782731.
Physician's Profile
| Full Name | Blake Austin Harrell |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 1100 Wilford Hall Loop, Jbsa Lackland Afb, Texas |
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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: 1144782731
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 12/23/2024
Medical Identifiers
Medical identifiers for Blake Austin Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144782731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0102206355 (Virginia) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0102206355 (Virginia) | 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 Austin Harrell 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 Austin Harrell, DO
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
Ph: (102) 292-7361 | Blake Austin Harrell, DO
1100 Wilford Hall Loop,
Jbsa Lackland Afb, TX 78236-5638
Ph: (210) 292-7361 |
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