Pamela J Blake, CRNP - Nurse Practitioner in Birmingham, AL

Pamela J Blake, CRNP is a Nurse Practitioner - Obstetrics & Gynecology based in Birmingham, Alabama. Pamela J Blake is licensed to practice in Alabama (license number 1054391) and her current practice location is 619 19th St S, Birmingham, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 934-6600.

NPI number for Pamela J Blake is 1770538977 and her current mailing address is Po Box 55310, Birmingham, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770538977.

Contact Information

Pamela J Blake, CRNP
619 19th St S,
Birmingham, AL 35249-1900
(205) 934-6600
Not Available

Map and Direction




Provider's Profile

Full NamePamela J Blake
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location619 19th St S, Birmingham, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770538977
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 07/30/2012

Medical Identifiers

Medical identifiers for Pamela J Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770538977NPI-NPPES
891007690MedicaidAL
051521386OtherALBLUE CROSS
891007670MedicaidAL
891007710MedicaidAL
891007720MedicaidAL
891007730MedicaidAL
051521388OtherALBLUE CROSS
891007680MedicaidAL
051521387OtherALBLUE CROSS
051521389OtherALBLUE CROSS
051521390OtherALBLUE CROSS
051521392OtherALBLUE CROSS
051554939OtherALBLUE CROSS
051521391OtherALBLUE CROSS
891007700MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 1054391 (Alabama)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. Pamela J 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 AddressPractice Location Address
Pamela J Blake, CRNP
Po Box 55310,
Birmingham, AL 35255-5310

Ph: (205) 731-9701
Pamela J Blake, CRNP
619 19th St S,
Birmingham, AL 35249-1900

Ph: (205) 934-6600

Reviews and Comments


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