Ryan Blake, FNP-BC in Chicago, IL - Medicare Nurse Practitioner

Ryan Blake, FNP-BC is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Access Community Health Network and his current practice location is 3752 W 16th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 762-2435.

Ryan Blake is licensed to practice in Illinois (license number 209019763) 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 1265083208.

Contact Information

	Ryan Blake, FNP-BC
	3752 W 16th St, Chicago, IL 60623-2028
	(773) 762-2435
	Not Available

Map and Direction

Physician's Profile

Full Name	Ryan Blake
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	3752 W 16th St, Chicago, Illinois
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:

Ryan Blake graduated from medical school in 2019

NPI Data:

NPI Number: 1265083208
Provider Enumeration Date: 09/20/2019
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 1759711229
Enrollment ID: I20200423002591

Medical Identifiers

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

Identifier	Type	State	Issuer
1265083208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	209019763 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Access Community Health Network	9537076112	152

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. Ryan Blake allows following entities to bill medicare on his behalf.

Entity Name	Access Community Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985

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. Ryan 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
Ryan Blake, FNP-BC 2613 W Augusta Blvd Apt 2r, Chicago, IL 60622-7451 Ph: (815) 768-7404	Ryan Blake, FNP-BC 3752 W 16th St, Chicago, IL 60623-2028 Ph: (773) 762-2435

Reviews and Comments

Family Medicine Doctors in Chicago, IL

Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273

Ryan Blake, FNP-BC - Medicare Nurse Practitioner in Chicago, IL