Mr Blake Daniel Alexander, MD in Modesto, CA

Mr Blake Daniel Alexander, MD is a medicare enrolled "Dermatology" physician in Modesto, California. His current practice location is 1101 Standiford Ave, Suite A-3, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 578-5072.

Mr Blake Daniel Alexander is licensed to practice in California (license number C52849) 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 1033132170.

Contact Information

	Mr Blake Daniel Alexander, MD
	1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982
	(209) 578-5072
	(209) 578-5292

Map and Direction

Physician's Profile

Full Name	Mr Blake Daniel Alexander
Gender	Male
Speciality	Dermatology
Location	1101 Standiford Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033132170
Provider Enumeration Date: 07/26/2006
Last Update Date: 09/03/2014

Medicare PECOS Information:

PECOS PAC ID: 5698789808
Enrollment ID: I20070727000617

Medical Identifiers

Medical identifiers for Mr Blake Daniel Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033132170	NPI	-	NPPES
ZZZ48224Z	Other	CA	MEDICARE IDENTIFICATION #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	C52849 (California)	Secondary
207N00000X	Dermatology	C52849 (California)	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. Mr Blake Daniel Alexander allows following entities to bill medicare on his behalf.

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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. Mr Blake Daniel Alexander 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
Mr Blake Daniel Alexander, MD 1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982 Ph: (209) 578-5072	Mr Blake Daniel Alexander, MD 1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982 Ph: (209) 578-5072

Reviews and Comments

Dermatology Doctors in Modesto, CA

Dr. Shirley Lynne Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1429 College Ave, Suite B, Modesto, CA 95350 Phone: 209-526-2242
Thomas G Salopek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Dr. Daniel Jerome Trozak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1444 Florida Ave, Ste 201, Modesto, CA 95350 Phone: 209-526-4384
Dr. Purita Z Villanueva, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528
Gary Wagner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Kinston Cummings, Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Mchenry Ave Ste 101, Modesto, CA 95350 Phone: 209-575-2700

Mr Blake Daniel Alexander, MD - Medicare Dermatology in Modesto, CA