Patrick W Blake, MD in San Diego, CA

Patrick W Blake, MD is a medicare enrolled "Dermatology" physician in San Diego, California. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Medderm Corporation and his current practice location is 501 Washington St, Suite 502, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 542-0013.

Patrick W Blake is licensed to practice in California (license number A130951) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871817312.

Contact Information

	Patrick W Blake, MD
	501 Washington St, Suite 502, San Diego, CA 92103-2231
	(619) 542-0013
	Not Available

Map and Direction

Physician's Profile

Full Name	Patrick W Blake
Gender	Male
Speciality	Dermatology
Experience	14 Years
Location	501 Washington St, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Patrick W Blake attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2010

NPI Data:

NPI Number: 1871817312
Provider Enumeration Date: 03/25/2010
Last Update Date: 01/18/2017

Medicare PECOS Information:

PECOS PAC ID: 9739304643
Enrollment ID: I20140709002608

Medical Identifiers

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

Identifier	Type	State	Issuer
1871817312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A130951 (California)	Primary
207N00000X	Dermatology	P3510 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medderm Corporation	2567465487	6

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. Patrick W Blake allows following entities to bill medicare on his behalf.

Entity Name	Medderm Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447936 PECOS PAC ID: 2567465487 Enrollment ID: O20060815000363

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. Patrick W 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
Patrick W Blake, MD 501 Washington St, Suite 502, San Diego, CA 92103-2231 Ph: (619) 542-0013	Patrick W Blake, MD 501 Washington St, Suite 502, San Diego, CA 92103-2231 Ph: (619) 542-0013

Reviews and Comments

Dermatology Doctors in San Diego, CA

Somaira Nowsheen, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 8899 University Center Ln Ste 350, San Diego, CA 92122 Phone: 858-657-8322
Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109 Phone: 858-273-2726 Fax: 858-273-2725
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471
Kathleen Kramer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 196-532-6400
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559
Dr. Jamison Derek Feramisco, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476

Patrick W Blake, MD - Medicare Dermatology in San Diego, CA