Dr Paul S Blake, DO in Charlotte, NC

Dr Paul S Blake, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Charlotte, North Carolina. He went to Ohio University, College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Metrolina Nephrology Associates Pa, Metrolina Nephrology Associates Pa and his current practice location is 3033 Eastway Dr Ste 201, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 731-6451.

Dr Paul S Blake is licensed to practice in North Carolina (license number 97-01697) 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 1871550855.

Contact Information

	Dr Paul S Blake, DO
	3033 Eastway Dr Ste 201, Charlotte, NC 28205-6387
	(704) 731-6451
	(704) 731-6452

Map and Direction

Physician's Profile

Full Name	Dr Paul S Blake
Gender	Male
Speciality	Nephrology
Experience	34 Years
Location	3033 Eastway Dr Ste 201, Charlotte, North Carolina
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 Paul S Blake attended and graduated from Ohio University, College Of Osteopathic Medicine in 1990

NPI Data:

NPI Number: 1871550855
Provider Enumeration Date: 04/26/2006
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0143245365
Enrollment ID: I20070329000433

Medical Identifiers

Medical identifiers for Dr Paul S Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871550855	NPI	-	NPPES
276911	Other	NC	MAMSI
N01697	Medicaid	SC
891126N	Medicaid	NC
1126N	Other	NC	BCBSNC
17696	Other	NC	PARTNERS
390006903	Other	NC	RR MEDICARE
561550231M	Other	NC	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	97-01697 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dsi Glenwater Dialysis	Charlotte, NC	Dialysis facility
Dsi Charlotte Latrobe Dialysis	Charlotte, NC	Dialysis facility
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Carolinas Medical Center-pineville	Charlotte, NC	Hospital
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metrolina Nephrology Associates Pa	8022916600	79
Metrolina Nephrology Associates Pa	8022916600	79

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 Paul S Blake allows following entities to bill medicare on his behalf.

Entity Name	Metrolina Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664189 PECOS PAC ID: 8022916600 Enrollment ID: O20100902000976

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 Paul S 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
Dr Paul S Blake, DO Po Box 37938, Charlotte, NC 28237-7938 Ph: (704) 332-0396	Dr Paul S Blake, DO 3033 Eastway Dr Ste 201, Charlotte, NC 28205-6387 Ph: (704) 731-6451

Reviews and Comments

Internal Medicine Doctors in Charlotte, NC

Dr. Anish Kaushik Vani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011
John Michael Fedor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Dr. Michael Warren Smith, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210 Phone: 704-554-8787 Fax: 704-554-8774
William Lane Jr., MD Nephrology Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-4490
Dr. Alagusivakumari Rameshbabu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8050
Shibin Thomas Jacob, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262 Phone: 704-863-5847
Oscar Sven Brann, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 Phone: 704-489-3094

Dr Paul S Blake, DO - Medicare Nephrology in Charlotte, NC