Zachary Ellis Blake, PA-C in Jefferson, LA - Medicare Physician Assistant

Zachary Ellis Blake, PA-C is a medicare enrolled "Physician Assistant" in Jefferson, Louisiana. His current practice location is 1514 Jefferson Hwy, Jefferson, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 842-3000.

Zachary Ellis Blake is licensed to practice in Louisiana (license number 338274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437850674.

Contact Information

	Zachary Ellis Blake, PA-C
	1514 Jefferson Hwy, Jefferson, LA 70121-2429
	(504) 842-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Zachary Ellis Blake
Gender	Male
Speciality	Physician Assistant
Location	1514 Jefferson Hwy, Jefferson, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437850674
Provider Enumeration Date: 03/14/2023
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1557716834
Enrollment ID: I20231005002372

Medical Identifiers

Medical identifiers for Zachary Ellis Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437850674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	338274 (Louisiana)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

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. Zachary Ellis 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
Zachary Ellis Blake, PA-C 1514 Jefferson Hwy, Jefferson, LA 70121-2429 Ph: (504) 842-4000	Zachary Ellis Blake, PA-C 1514 Jefferson Hwy, Jefferson, LA 70121-2429 Ph: (504) 842-3000

Reviews and Comments

Physician Assistant Nurses in Jefferson, LA

Miss Heather Alexander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-0434
Katherine Broussard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-579-6504
Jordan Owens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 866-624-7637
Sydney Forsythe, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000
Kelly Kincaide, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000
Varsha Castro Gusman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-975-8259
Anh Phuong Chau Vu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-4023

Zachary Ellis Blake, PA-C - Medicare Physician Assistant in Jefferson, LA