Regina Blake, is a
Licensed Practical Nurse based in Concord Twp, Ohio. Regina Blake is licensed to practice in Ohio (license number PN 092709) and her current practice location is
7757 Auburn Rd, Concord Twp, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 350-2547.
NPI number for Regina Blake is 1003203803 and her current mailing address is 7757 Auburn Rd, Concord Twp, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003203803.
Provider's Profile
| Full Name | Regina Blake |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 7757 Auburn Rd, Concord Twp, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003203803
- Provider Enumeration Date: 04/20/2015
- Last Update Date: 04/20/2015
Medical Identifiers
Medical identifiers for Regina Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003203803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN 092709 (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. Regina 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 |
|---|
Regina Blake,
7757 Auburn Rd,
Concord Twp, OH 44077-9609
Ph: (440) 350-2547 | Regina Blake,
7757 Auburn Rd,
Concord Twp, OH 44077-9609
Ph: (440) 350-2547 |
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