Michael Joseph Blake, MD in Bozeman, MT

Michael Joseph Blake, MD is a medicare enrolled "Pediatrics" physician in Bozeman, Montana. His current practice location is 937 Highland Blvd Ste 5320, Bozeman, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 414-4900.

Michael Joseph Blake is licensed to practice in Montana (license number 12120) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578513701.

Contact Information

	Michael Joseph Blake, MD
	937 Highland Blvd Ste 5320, Bozeman, MT 59715-6916
	(406) 414-4900
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Joseph Blake
Gender	Male
Speciality	Pediatrics
Location	937 Highland Blvd Ste 5320, Bozeman, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578513701
Provider Enumeration Date: 05/10/2006
Last Update Date: 07/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2264400464
Enrollment ID: I20090930000696

Medical Identifiers

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

Identifier	Type	State	Issuer
1578513701	NPI	-	NPPES
209287408	Medicaid	MO
1578513701	Medicaid	MT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	12120 (Montana)	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. Michael Joseph Blake allows following entities to bill medicare on his behalf.

Entity Name	Bozeman Health Deaconess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559

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. Michael Joseph 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
Michael Joseph Blake, MD 915 Highland Blvd, Attn Pfs Credentialing, Bozeman, MT 59715-6902 Ph: (406) 414-5000	Michael Joseph Blake, MD 937 Highland Blvd Ste 5320, Bozeman, MT 59715-6916 Ph: (406) 414-4900

Reviews and Comments

Pediatrics Doctors in Bozeman, MT

Margaret Kathleen Siska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1819 S 22nd Ave Ste 100, Bozeman, MT 59718 Phone: 406-898-1200
Courtney Handlin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1819 S 22nd Ave, Ste 100, Bozeman, MT 59718 Phone: 406-522-5437 Fax: 406-414-0274
Stephanie Rona Starr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 937 Highland Blvd Ste 5320, Bozeman, MT 59715 Phone: 406-414-4900
Dr. Kara Lynn Arvin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Highland Blvd, Bozeman, MT 59715 Phone: 406-414-5140
Kathryn D Bertany, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Highland Blvd, Bozeman, MT 59715 Phone: 406-414-5000
Pepper J Henyon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 937 Highland Blvd Ste 5320, Bozeman, MT 59715 Phone: 406-414-4900
Lauren Bickle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 W Kagy Blvd Ste G, Bozeman, MT 59715 Phone: 406-587-5870 Fax: 406-522-1536

Michael Joseph Blake, MD - Medicare Pediatrics in Bozeman, MT