Fitz Blake Jr, - Medicare Emergency Medicine in Tallahassee, FL

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Fitz Blake Jr, is a medicare enrolled "Emergency Medicine" physician in Tallahassee, Florida. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tallahassee Memorial Healthcare Inc, Tmh Emergency Physician Group and his current practice location is 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 431-0911.

Fitz Blake Jr is licensed to practice in Florida (license number ME115973) 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 1255561866.

Contact Information

Fitz Blake Jr,
1300 Miccosukee Road, Bixler Emergency Center,
Tallahassee, FL 32308
(850) 431-0911
(850) 431-0779

Map and Direction




Physician's Profile

Full NameFitz Blake Jr
GenderMale
SpecialityEmergency Medicine
Experience15 Years
Location1300 Miccosukee Road, Tallahassee, 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:
  • Fitz Blake Jr graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1255561866
  • Provider Enumeration Date: 07/16/2009
  • Last Update Date: 05/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0244486785
  • Enrollment ID: I20130715000230

Medical Identifiers

Medical identifiers for Fitz Blake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255561866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301094830 (Michigan)Secondary
207P00000XEmergency Medicine ME115973 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tallahassee Memorial HealthcareTallahassee, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tallahassee Memorial Healthcare Inc6103724778339
Tmh Emergency Physician Group832531708433

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. Fitz Blake Jr allows following entities to bill medicare on his behalf.
Entity NameTallahassee Memorial Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437177664
PECOS PAC ID: 6103724778
Enrollment ID: O20031222000279
Entity NameTallahassee Memorial Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194774968
PECOS PAC ID: 6103724778
Enrollment ID: O20041029000600
Entity NameTmh Emergency Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417483819
PECOS PAC ID: 8325317084
Enrollment ID: O20170712001068
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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. Fitz Blake Jr 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
Fitz Blake Jr,
1300 Miccosukee Road, Bixler Emergency Center,
Tallahassee, FL 32308

Ph: (850) 431-0911		Fitz Blake Jr,
1300 Miccosukee Road, Bixler Emergency Center,
Tallahassee, FL 32308

Ph: (850) 431-0911

Reviews and Comments


Emergency Medicine Doctors in Tallahassee, FL

Joel Holcombe, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1309 Thomasville Road, Physician Billing Office, Tallahassee, FL 32303
Phone: 850-431-7289    Fax: 850-431-6975
John Christopher Jusino, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Miccosukee Rd, Bixler Emergency Center, Tallahassee, FL 32308
Phone: 850-431-0756    Fax: 850-431-0779
Dr. Bansidas M Agravat, M.D
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308
Phone: 850-431-0756    Fax: 850-431-0779
Matthew C Davis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308
Phone: 508-775-1158    Fax: 850-656-3645
Dr. William David Nimmons, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308
Phone: 850-510-5496    
Juvenal Havyarimana, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308
Phone: 850-325-5000    

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).

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