Alex Blake, CSFA is a
Physician Assistant - Surgical based in Blanchester, Ohio. Alex Blake is licensed to practice in Ohio (license number 157559) and his current practice location is
10743 S State Route 133, Blanchester, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 728-9782.
NPI number for Alex Blake is 1710348701 and his current mailing address is 7777 Yankee Rd, Liberty Township, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710348701.
Provider's Profile
Full Name | Alex Blake |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 10743 S State Route 133, Blanchester, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710348701
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 03/17/2016
Medical Identifiers
Medical identifiers for Alex Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710348701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | 157559 (Ohio) | 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. Alex Blake 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 |
Alex Blake, CSFA 7777 Yankee Rd, Liberty Township, OH 45044-3500 Ph: (513) 803-9600 | Alex Blake, CSFA 10743 S State Route 133, Blanchester, OH 45107-9435 Ph: (937) 728-9782 |
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