Lara Blake, in Tupelo, MS - Medicare Family Medicine

Lara Blake, is a medicare enrolled "Family Medicine" physician in Tupelo, Mississippi. Her current practice location is 845 S Madison St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-3000.

Lara Blake is licensed to practice in Mississippi (license number 906281) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881472371.

Contact Information

	Lara Blake,
	845 S Madison St, Tupelo, MS 38801-4905
	(662) 377-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Lara Blake
Gender	Female
Speciality	Family Medicine
Location	845 S Madison St, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881472371
Provider Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8729435359
Enrollment ID: I20231103001107

Medical Identifiers

Medical identifiers for Lara Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881472371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	906281 (Mississippi)	Primary

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. Lara Blake allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

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. Lara 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
Lara Blake, 2056 New Chapel Rd, Nettleton, MS 38858-8257 Ph: (662) 538-8753	Lara Blake, 845 S Madison St, Tupelo, MS 38801-4905 Ph: (662) 377-3000

Reviews and Comments

Family Medicine Doctors in Tupelo, MS

Mr. Aaron Ashley Amos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Gloster St # 123, Tupelo, MS 38804 Phone: 407-508-8618
Terry Ray Perrine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263
Joannie Franklin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-844-9376 Fax: 662-844-4326
John Edward Hill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263
Dr. Benjamin Gilliland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-407-2528
Raines Atherton Chaffin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 County Road 1698, Tupelo, MS 33804 Phone: 501-454-1960
Dr. Ashley Wayne Harris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930

Lara Blake, - Medicare Family Medicine in Tupelo, MS