Dr Bria Nikole Williams Blake, MD - Medicare Obstetrics & Gynecology in Charlotte, NC

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Dr Bria Nikole Williams Blake, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Charlotte, North Carolina. Her current practice location is 1918 Randolph Rd Ste 670, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-1620.

Dr Bria Nikole Williams Blake is licensed to practice in North Carolina (license number 2023-01746) 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 1255990719.

Contact Information

Dr Bria Nikole Williams Blake, MD
1918 Randolph Rd Ste 670,
Charlotte, NC 28207-1119
(704) 384-1620
(704) 384-1626

Map and Direction




Physician's Profile

Full NameDr Bria Nikole Williams Blake
GenderFemale
SpecialityObstetrics & Gynecology
Location1918 Randolph Rd Ste 670, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255990719
  • Provider Enumeration Date: 06/10/2019
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789914847
  • Enrollment ID: I20230803001951

Medical Identifiers

Medical identifiers for Dr Bria Nikole Williams Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255990719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology LL82792 (South Carolina)Secondary
207V00000XObstetrics & Gynecology 2023-01746 (North Carolina)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. Dr Bria Nikole Williams Blake allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameNmg Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396455267
PECOS PAC ID: 4789057753
Enrollment ID: O20230222003037

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 Bria Nikole Williams 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 Bria Nikole Williams Blake, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Dr Bria Nikole Williams Blake, MD
1918 Randolph Rd Ste 670,
Charlotte, NC 28207-1119

Ph: (704) 384-1620

Reviews and Comments


Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204
Phone: 704-446-7800    
Lynn Amy Boardman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Dr. Simon Vivian Ward Iii, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207
Phone: 704-384-1620    Fax: 704-384-1626
Curtis Lee Flood, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1901 E 5th St, Charlotte, NC 28204
Phone: 980-367-4363    Fax: 704-384-1644
Grant Blanchard, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Roland Pixley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204
Phone: 704-446-1700    
Katherine Elizabeth Akeley, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211
Phone: 704-446-1700    

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.