Dwight D Blake, MD is a medicare enrolled "Internal Medicine" physician in Union City, Georgia. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rophe Adult And Pediatric Medicine and his current practice location is
4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 964-7736.
Dwight D Blake is licensed to practice in Georgia (license number 51117) 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 1811938814.
Physician's Profile
| Full Name | Dwight D Blake |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | 4910 Jonesboro Rd, Union City, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dwight D Blake graduated from medical school in 1984
NPI Data:
- NPI Number: 1811938814
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 05/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 6002826427
- Enrollment ID: I20060501000317
Medical Identifiers
Medical identifiers for Dwight D Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811938814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 51117 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rophe Adult And Pediatric Medicine | 3476551961 | 3 |
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. Dwight D Blake allows following entities to bill medicare on his behalf.
| Entity Name | Rophe Adult & Pediatric Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831156306
PECOS PAC ID: 3476551961
Enrollment ID: O20061116000328 |
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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. Dwight D 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 |
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Dwight D Blake, MD
4910 Jonesboro Rd, Bldg. 700, Ste. 1,
Union City, GA 30291-2085
Ph: (770) 964-7736 | Dwight D Blake, MD
4910 Jonesboro Rd, Bldg. 700, Ste. 1,
Union City, GA 30291-2085
Ph: (770) 964-7736 |
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