Mrs Charlene Carla Blache, MD in Valdosta, GA

Mrs Charlene Carla Blache, MD is a Pediatrics physician based in Valdosta, Georgia. Mrs Charlene Carla Blache is licensed to practice in Georgia (license number 045728) and her current practice location is 406 M Northside Drive, Valdosta, Georgia. She can be reached at her office (for appointments etc.) via phone at (229) 241-0059.

NPI number for Mrs Charlene Carla Blache is 1538139712 and her current mailing address is 406 M Northside Drive, Valdosta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538139712.

Contact Information

	Mrs Charlene Carla Blache, MD
	406 M Northside Drive, Valdosta, GA 31602-1853
	(229) 241-0059
	(229) 241-2088

Map and Direction

Physician's Profile

Full Name	Mrs Charlene Carla Blache
Gender	Female
Speciality	Pediatrics
Location	406 M Northside Drive, Valdosta, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1538139712
Provider Enumeration Date: 01/23/2006
Last Update Date: 09/08/2015

Medical Identifiers

Medical identifiers for Mrs Charlene Carla Blache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538139712	NPI	-	NPPES
000816593K	Medicaid	GA
000816593B	Medicaid	GA
000816593L	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	045728 (Georgia)	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. Mrs Charlene Carla Blache is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Charlene Carla Blache, MD 406 M Northside Drive, Valdosta, GA 31602-1853 Ph: (229) 241-0059	Mrs Charlene Carla Blache, MD 406 M Northside Drive, Valdosta, GA 31602-1853 Ph: (229) 241-0059

Reviews and Comments

Pediatrics Doctors in Valdosta, GA

Thomas L Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730
Irene Murema, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730
Kimberly W Megow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3526 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-241-9500 Fax: 229-241-1047
Cristina Marie Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-468-0042
Corne Maydell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000
Kamela Manantan Camon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Northside Dr Ste M, Valdosta, GA 31602 Phone: 229-241-0059
Robert J Criscuola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3331 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2211 Fax: 229-247-9313

Mrs Charlene Carla Blache, MD - Pediatrics in Valdosta, GA