Dr Brett Patrick Blake, MD - Medicare Dermatology in Sun City Center, FL

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Dr Brett Patrick Blake, MD is a medicare enrolled "Dermatology" physician in Sun City Center, Florida. He went to University Of South Florida College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Aqua Dermatology Of Florida, Pa and his current practice location is 4002 Sun City Center Blvd, Unit 102, Sun City Center, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 634-1455.

Dr Brett Patrick Blake is licensed to practice in Florida (license number ME125767) 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 1376772707.

Contact Information

Dr Brett Patrick Blake, MD
4002 Sun City Center Blvd, Unit 102,
Sun City Center, FL 33573-5256
(813) 634-1455
(813) 642-8355

Map and Direction




Physician's Profile

Full NameDr Brett Patrick Blake
GenderMale
SpecialityDermatology
Experience15 Years
Location4002 Sun City Center Blvd, Sun City Center, Florida
Accepts Medicare AssignmentsYes. 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 Brett Patrick Blake attended and graduated from University Of South Florida College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1376772707
  • Provider Enumeration Date: 07/07/2009
  • Last Update Date: 01/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2860632775
  • Enrollment ID: I20160113000570

Medical Identifiers

Medical identifiers for Dr Brett Patrick Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376772707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME125767 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aqua Dermatology Of Florida, Pa1153390414161

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 Brett Patrick Blake allows following entities to bill medicare on his behalf.
Entity NameAqua Dermatology Of Florida, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538270335
PECOS PAC ID: 1153390414
Enrollment ID: O20041002000097

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 Brett Patrick 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 AddressPractice Location Address
Dr Brett Patrick Blake, MD
15051 S Tamiami Trl, Suite 203,
Fort Myers, FL 33908-5182

Ph: (239) 437-8810		Dr Brett Patrick Blake, MD
4002 Sun City Center Blvd, Unit 102,
Sun City Center, FL 33573-5256

Ph: (813) 634-1455

Reviews and Comments


Dermatology Doctors in Sun City Center, FL

Kortney Dorsey Hightower, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 957 E Del Webb Blvd, Suite 101, Sun City Center, FL 33573
Phone: 813-634-1484    Fax: 813-435-2023
Donna Gail Moody, ARNP C
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573
Phone: 813-634-1484    Fax: 813-435-2023
Dr. Michael George Caruso, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4002 Sun City Center Blvd, Unit102, Sun City Center, FL 33573
Phone: 813-634-1455    Fax: 813-642-8355

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.