Blake Sparks, MD in Galveston, TX

Blake Sparks, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Galveston, Texas. Her current practice location is 301 University Blvd, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 772-8119.

Blake Sparks is licensed to practice in Texas (license number BP10052654) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194112870.

Contact Information

	Blake Sparks, MD
	301 University Blvd, Galveston, TX 77555-0724
	(409) 772-8119
	(409) 772-1872

Map and Direction

Physician's Profile

Full Name	Blake Sparks
Gender	Female
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	301 University Blvd, Galveston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194112870
Provider Enumeration Date: 04/21/2015
Last Update Date: 04/21/2015

Medicare PECOS Information:

PECOS PAC ID: 1850663642
Enrollment ID: I20240130001609

Medical Identifiers

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

Identifier	Type	State	Issuer
1194112870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	BP10052654 (Texas)	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 Sparks allows following entities to bill medicare on her behalf.

Entity Name	Joseph C Banis Jr Md Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124125497 PECOS PAC ID: 1951385137 Enrollment ID: O20040615001496

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 Sparks 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 Sparks, MD 301 University Blvd, Galveston, TX 77555-0724 Ph: (409) 772-8119	Blake Sparks, MD 301 University Blvd, Galveston, TX 77555-0724 Ph: (409) 772-8119

Reviews and Comments

Surgery Doctors in Galveston, TX

Dr. Jennifer Ann Minneman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-4456
Dr. Ravi Radhakrishnan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-5666 Fax: 409-772-4253
Mohammadali Mohajel Shoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1369
Joseph Patrick Kearney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222
Juliano Lentz Carvalho, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531
Kimberley Christiane Brondeel, Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8119
Dr. Sara Michelle Demola, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Mc 1172, Galveston, TX 77555 Phone: 409-772-9066 Fax: 409-747-7319

Blake Sparks, MD - Medicare Surgery in Galveston, TX