Colin Blake, MD is a medicare enrolled "Anesthesiology" physician in Ayer, Massachusetts. He went to Albany Medical College Of Union University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Steward Medical Group Inc and his current practice location is
200 Groton Rd, Ayer, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 562-5476.
Colin Blake is licensed to practice in Massachusetts (license number 225542) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770565657.
Physician's Profile
Full Name | Colin Blake |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 23 Years |
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Location | 200 Groton Rd, Ayer, Massachusetts |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Colin Blake attended and graduated from Albany Medical College Of Union University in 2001
NPI Data:
- NPI Number: 1770565657
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294762159
- Enrollment ID: I20050721000896
Medical Identifiers
Medical identifiers for Colin Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770565657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 225542 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Steward Medical Group Inc | 2860688728 | 1338 |
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. Colin Blake allows following entities to bill medicare on his behalf.
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
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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. Colin Blake 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 |
Colin Blake, MD 9 Galen St Ste 130, Watertown, MA 02472-4521 Ph: (617) 562-5476 | Colin Blake, MD 200 Groton Rd, Ayer, MA 01432-1168 Ph: (617) 562-5476 |
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