Dr Perth Agusta Blake, MD - Medicare Family Practice in Tavares, FL

  1. Home
  2. Family Medicine
  3. FL
  4. Tavares
Dr Perth Agusta Blake, MD is a medicare enrolled "Family Medicine" physician in Tavares, Florida. He went to Loma Linda University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. His current practice location is 1840 Classique Ln, Tavares, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 508-5046.

Dr Perth Agusta Blake is licensed to practice in Florida (license number ME0069890) 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 1063505105.

Contact Information

Dr Perth Agusta Blake, MD
1840 Classique Ln,
Tavares, FL 32778-5748
(352) 508-5046
(352) 508-5048

Map and Direction




Physician's Profile

Full NameDr Perth Agusta Blake
GenderMale
SpecialityFamily Practice
Experience31 Years
Location1840 Classique Ln, Tavares, 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 Perth Agusta Blake attended and graduated from Loma Linda University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1063505105
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 03/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7517000953
  • Enrollment ID: I20100206000162

Medical Identifiers

Medical identifiers for Dr Perth Agusta Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063505105NPI-NPPES
31711YOtherFLMEDICARE ID
255623500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME0069890 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth WatermanTavares, FLHospital

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 Perth Agusta Blake allows following entities to bill medicare on his behalf.
Entity NameYou And Your Health Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972696011
PECOS PAC ID: 9335282771
Enrollment ID: O20100206000165

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 Perth Agusta 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 Perth Agusta Blake, MD
Po Box 1245,
Tavares, FL 32778-1245

Ph: (352) 508-5046		Dr Perth Agusta Blake, MD
1840 Classique Ln,
Tavares, FL 32778-5748

Ph: (352) 508-5046

Reviews and Comments


Family Medicine Doctors in Tavares, FL

Devlin O'connor, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Waterman Way, Tavares, FL 32778
Phone: 352-343-0181    Fax: 352-343-0812
James L. Willis, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1741 David Walker Dr, Tavares, FL 32778
Phone: 352-742-8836    Fax: 352-742-8829
Dr. John Thomas Watson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1729 David Walker Dr, Tavares, FL 32778
Phone: 352-508-4455    Fax: 844-388-6186
David G Koo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-742-8836    Fax: 352-742-8829
Stephen E Young, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1707 Mayo Drive, Tavares, FL 32778
Phone: 352-253-2511    Fax: 352-253-2522
Chuong Hoang Vu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1755 David Walker Dr, Tavares, FL 32778
Phone: 352-742-8830    Fax: 352-742-8826

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.