Kevin K Blake, NP in Kingsport, TN - Medicare Nurse Practitioner

Kevin K Blake, NP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wps Providers Inc and his current practice location is 2202 N John B Dennis Hwy Ste 100, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 578-8500.

Kevin K Blake is licensed to practice in Tennessee (license number 17873) 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 1174957864.

Contact Information

	Kevin K Blake, NP
	2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660-5904
	(423) 578-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Kevin K Blake
Gender	Male
Speciality	Nurse Practitioner
Experience	32 Years
Location	2202 N John B Dennis Hwy Ste 100, Kingsport, Tennessee
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:

Kevin K Blake attended and graduated from East Tennessee State University Quillen College Of Medicine in 1992

NPI Data:

NPI Number: 1174957864
Provider Enumeration Date: 08/29/2013
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1759518509
Enrollment ID: I20131226000636

Medical Identifiers

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

Identifier	Type	State	Issuer
1174957864	NPI	-	NPPES
Q008564	Medicaid	TN
1174957864	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	148275 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	17873 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indian Path Community Hospital	Kingsport, TN	Hospital
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wps Providers Inc	7719079532	67

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. Kevin K Blake allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Wps Providers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003904095 PECOS PAC ID: 7719079532 Enrollment ID: O20070824000581

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. Kevin K 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
Kevin K Blake, NP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Kevin K Blake, NP 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660-5904 Ph: (423) 578-8500

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Kevin K Blake, NP - Medicare Nurse Practitioner in Kingsport, TN