Dr Blake Reid Zelickson, MD, PHD in Sterling, VA

Dr Blake Reid Zelickson, MD, PHD is a medicare enrolled "Dermatology" physician in Sterling, Virginia. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Loudoun Medical Group, Pc and his current practice location is 22365 Broderick Drive, Suite 115, Sterling, Virginia. You can reach out to his office (for appointments etc.) via phone at (170) 399-6400.

Dr Blake Reid Zelickson is licensed to practice in Virginia (license number 0101269123) 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 1902292394.

Contact Information

	Dr Blake Reid Zelickson, MD, PHD
	22365 Broderick Drive, Suite 115, Sterling, VA 20166-9362
	(170) 399-6400
	(571) 707-8123

Map and Direction

Physician's Profile

Full Name	Dr Blake Reid Zelickson
Gender	Male
Speciality	Dermatology
Experience	9 Years
Location	22365 Broderick Drive, Suite 115, Sterling, Virginia
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:

Dr Blake Reid Zelickson graduated from medical school in 2015

NPI Data:

NPI Number: 1902292394
Provider Enumeration Date: 04/13/2015
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 9032532213
Enrollment ID: I20200707000356

Medical Identifiers

Medical identifiers for Dr Blake Reid Zelickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902292394	NPI	-	NPPES
1902292394	Medicaid	VA
30017647860001	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	286353 (New York)	Secondary
207N00000X	Dermatology	0101269123 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Loudoun Medical Group, Pc	0042119661	288

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. Dr Blake Reid Zelickson allows following entities to bill medicare on his behalf.

Entity Name	Loudoun Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474

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. Dr Blake Reid Zelickson 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
Dr Blake Reid Zelickson, MD, PHD 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 Ph: (703) 737-6001	Dr Blake Reid Zelickson, MD, PHD 22365 Broderick Drive, Suite 115, Sterling, VA 20166-9362 Ph: (170) 399-6400

Reviews and Comments

Dermatology Doctors in Sterling, VA

Dr. Douglas Scott Richardson, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 21495 Ridgetop Cir, Suite 204, Sterling, VA 20166 Phone: 703-439-3939 Fax: 703-430-5529
Sonia Mikhail Kheir, MD Dermatology Medicare: Medicare Enrolled Practice Location: 405 Glenn Dr, Ste 10a, Sterling, VA 20164 Phone: 703-404-8189 Fax: 703-404-1131
Stephanie Y. Daniel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 22365 Broderick Drive, Suite 115, Sterling, VA 20166 Phone: 703-996-4000 Fax: 571-707-8123
Anjali D Chandela, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14 Pidgeon Hill Dr, Suite 340, Sterling, VA 20165 Phone: 703-450-5959

Dr Blake Reid Zelickson, MD, PHD - Medicare Dermatology in Sterling, VA