Charles Richard Blake, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-0371 | |
(352) 392-3451 | |
Not Available |
Full Name | Charles Richard Blake |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 25 Years |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386645224 | NPI | - | NPPES |
32840 | Other | NC | OPTICARE |
0800815 | Other | NC | UNITED HEALTHCARE |
0800815 | Other | NC | MAMSI |
806940 | Other | NC | COMMUNITY EYE CARE |
GP4696 | Medicaid | SC | |
010129300 | Medicaid | FL | |
5902230 | Medicaid | NC | |
806940 | Other | NC | PARTNERS |
183075 | Other | NC | MEDCOST |
141A6 | Other | NC | BCBS NC |
OPH174 | Other | NC | PRIMAHEALTH |
7273542 | Other | NC | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 29828 (South Carolina) | Secondary |
207W00000X | Ophthalmology | ME90057 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Shands Hospital | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Charles Richard Blake, MD Po Box 100284, Gainesville, FL 32610-0284 Ph: (352) 273-8778 | Charles Richard Blake, MD 1600 Sw Archer Rd, Gainesville, FL 32610-0371 Ph: (352) 392-3451 |
Dr. Casey Justin Beal, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100284, Gainesville, FL 32610 Phone: 352-273-8778 | |
Ramin Daneshvar, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6201 W Newberry Rd, Gainesville, FL 32605 Phone: 352-265-2020 Fax: 352-273-8787 | |
Dr. Gregory Snodgrass, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4313 Nw 8th Ave, Gainesville, FL 32605 Phone: 352-373-4300 Fax: 352-372-1641 | |
Renata Martins De Barros Mancano, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6201 W Newberry Rd, Gainesville, FL 32605 Phone: 352-265-2020 | |
Dr. Firoozeh Raygan, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6201 W Newberry Rd, Gainesville, FL 32605 Phone: 352-265-2020 | |
Dr. Sonal S Tuli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6201 W Newberry Rd, Gainesville, FL 32605 Phone: 352-265-7080 Fax: 352-265-7081 | |
Dr. Nausheen Khuddus, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7120 Nw 11th Pl, Gainesville, FL 32605 Phone: 352-261-0089 Fax: 386-755-1128 |