Dr Tonya Blache, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Wake Forest, North Carolina. Dr Tonya Blache is licensed to practice in Georgia (license number 35057) and her current practice location is 1117 Chilmark Ave, Wake Forest, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 569-6708.
NPI number for Dr Tonya Blache is 1629445325 and her current mailing address is 1117 Chilmark Ave, Wake Forest, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629445325.
Physician's Profile
Full Name | Dr Tonya Blache |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 1117 Chilmark Ave, Wake Forest, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629445325
- Provider Enumeration Date: 08/28/2015
- Last Update Date: 08/28/2015
Medical Identifiers
Medical identifiers for Dr Tonya Blache such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629445325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 35057 (Georgia) | Primary |
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 Tonya Blache is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tonya Blache, MD 1117 Chilmark Ave, Wake Forest, NC 27587-5334 Ph: (919) 569-6708 | Dr Tonya Blache, MD 1117 Chilmark Ave, Wake Forest, NC 27587-5334 Ph: (919) 569-6708 |
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