Sally S Blake, FNP-C in Orangeburg, SC - Medicare Nurse Practitioner

Sally S Blake, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Orangeburg, South Carolina. Her current practice location is 2319 Saint Matthews Rd, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 536-1571.

Sally S Blake is licensed to practice in South Carolina (license number 710) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750432985.

Contact Information

	Sally S Blake, FNP-C
	2319 Saint Matthews Rd, Orangeburg, SC 29118
	(803) 536-1571
	(803) 534-3860

Map and Direction

Provider's Profile

Full Name	Sally S Blake
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2319 Saint Matthews Rd, Orangeburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750432985
Provider Enumeration Date: 01/15/2007
Last Update Date: 02/11/2019

Medicare PECOS Information:

PECOS PAC ID: 3779529458
Enrollment ID: I20050705000156

Medical Identifiers

Medical identifiers for Sally S Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750432985	NPI	-	NPPES
710	Other	SC	STATE LICENSE #
NP1060	Medicaid	SC
F710	Other	SC	PRESCRIPTIVE AUTHORITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	710 (South Carolina)	Primary

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. Sally S Blake allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508811324 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705

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. Sally S 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
Sally S Blake, FNP-C 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 Ph: (803) 536-1571	Sally S Blake, FNP-C 2319 Saint Matthews Rd, Orangeburg, SC 29118 Ph: (803) 536-1571

Reviews and Comments

Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243

Sally S Blake, FNP-C - Medicare Nurse Practitioner in Orangeburg, SC