Mr Paul A Blake Iv, DO (AS OF 5/31/2020) - Medicare Preventive Medicine in Little Rock Afb, AR

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Mr Paul A Blake Iv, DO (AS OF 5/31/2020) is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Little Rock Afb, Arkansas. His current practice location is 1090 Arnold Dr, Little Rock Afb, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 987-7319.

Mr Paul A Blake Iv is licensed to practice in Nebraska (license number 2470) 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 1639799158.

Contact Information

Mr Paul A Blake Iv, DO (AS OF 5/31/2020)
1090 Arnold Dr,
Little Rock Afb, AR 72099-4933
(501) 987-7319
Not Available

Map and Direction




Physician's Profile

Full NameMr Paul A Blake Iv
GenderMale
SpecialityPreventive Medicine - Aerospace Medicine
Location1090 Arnold Dr, Little Rock Afb, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639799158
  • Provider Enumeration Date: 04/24/2020
  • Last Update Date: 10/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183012396
  • Enrollment ID: I20211020002136

Medical Identifiers

Medical identifiers for Mr Paul A Blake Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639799158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 2470 (Nebraska)Primary

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 Paul A Blake Iv 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
Mr Paul A Blake Iv, DO (AS OF 5/31/2020)
1090 Arnold Dr,
Little Rock Afb, AR 72099-4933

Ph: (501) 987-7319		Mr Paul A Blake Iv, DO (AS OF 5/31/2020)
1090 Arnold Dr,
Little Rock Afb, AR 72099-4933

Ph: (501) 987-7319

Reviews and Comments


Preventive Medicine Doctors in Little Rock Afb, AR

Dr. Thomas Richard Degraff Iii, D.O.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Cms Williams Drive, Little Rock Afb, AR 72099
Phone: 501-987-6951    
Dr. Timothy Arnell Netters Jr., M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099
Phone: 501-987-7319    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.