Philmore Blake, is a medicare enrolled "Urology" physician in Lake Jackson, Texas. His current practice location is
188 Abner Jackson Pkwy, Lake Jackson, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 297-9488.
Philmore Blake is licensed to practice in Texas (license number K7246) 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 1316972458.
Physician's Profile
| Full Name | Philmore Blake |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 188 Abner Jackson Pkwy, Lake Jackson, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316972458
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 03/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 4385606847
- Enrollment ID: I20041028000134
Medical Identifiers
Medical identifiers for Philmore Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316972458 | NPI | - | NPPES |
| 0315798-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | K7246 (Texas) | 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. Philmore 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 |
|---|
Philmore Blake,
188 Abner Jackson Pkwy,
Lake Jackson, TX 77566-5160
Ph: (979) 297-9488 | Philmore Blake,
188 Abner Jackson Pkwy,
Lake Jackson, TX 77566-5160
Ph: (979) 297-9488 |
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