Mr Blake Hawk, CRNA in Elkhart, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Blake Hawk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice United Surgeons Llc, Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 523-3193.

Mr Blake Hawk is licensed to practice in Indiana (license number 28198864A) 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 1417409251.

Contact Information

	Mr Blake Hawk, CRNA
	600 East Blvd, Elkhart, IN 46514-2483
	(574) 523-3193
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Blake Hawk
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	600 East Blvd, Elkhart, Indiana
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:

Mr Blake Hawk graduated from nursing school in 2016

NPI Data:

NPI Number: 1417409251
Provider Enumeration Date: 10/27/2016
Last Update Date: 10/27/2016

Medicare PECOS Information:

PECOS PAC ID: 4183906910
Enrollment ID: I20170131000674

Medical Identifiers

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

Identifier	Type	State	Issuer
1417409251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28198864A (Indiana)	Primary
367500000X	Nurse Anesthetist, Certified Registered	RN.400991 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
United Surgeons Llc	0941260061	15
Saint Joseph Regional Medical Center-south Bend Campus Inc	3476451790	57

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. Mr Blake Hawk allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	Northern Indiana Anesthesia Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083639660 PECOS PAC ID: 1456321413 Enrollment ID: O20040727001614

Entity Name	United Surgeons Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518197011 PECOS PAC ID: 0941260061 Enrollment ID: O20110330000083

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. Mr Blake Hawk 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
Mr Blake Hawk, CRNA 202 Orchard Park Dr, Wakarusa, IN 46573-9738 Ph: (574) 354-7556	Mr Blake Hawk, CRNA 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3193

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463

Mr Blake Hawk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN