Dr Blake Allen Peterson, OD - Medicare Optometrist in Cleveland, TN

Dr Blake Allen Peterson, OD is a medicare enrolled "Optometrist" provider in Cleveland, Tennessee. He went to Southern College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Walter F Peterson Od Pc and his current practice location is 2020 Keith St Nw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 472-6517.

Dr Blake Allen Peterson is licensed to practice in Tennessee (license number ODT1031) 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 1942200159.

Contact Information

Dr Blake Allen Peterson, OD
2020 Keith St Nw,
Cleveland, TN 37311-1351
(423) 472-6517
(423) 476-8578

Map and Direction




Healthcare Provider's Profile

Full NameDr Blake Allen Peterson
GenderMale
SpecialityOptometry
Experience39 Years
Location2020 Keith St Nw, Cleveland, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Blake Allen Peterson attended and graduated from Southern College Of Optometry in 1985
  NPI Data:
  • NPI Number: 1942200159
  • Provider Enumeration Date: 07/29/2005
  • Last Update Date: 12/06/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214084367
  • Enrollment ID: I20111114000540

Medical Identifiers

Medical identifiers for Dr Blake Allen Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942200159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODT1031 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Walter F Peterson Od Pc63059934522

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. Dr Blake Allen Peterson allows following entities to bill medicare on his behalf.
Provider NameWalter F Peterson Od Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962695916
PECOS PAC ID: 6305993452
Enrollment ID: O20090407000619

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. Dr Blake Allen Peterson 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 AddressPractice Location Address
Dr Blake Allen Peterson, OD
2020 Keith St Nw,
Cleveland, TN 37311-1351

Ph: (423) 472-6517
Dr Blake Allen Peterson, OD
2020 Keith St Nw,
Cleveland, TN 37311-1351

Ph: (423) 472-6517

Reviews and Comments


Optometrist in Cleveland, TN

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Dr. Samuel Harvey Horner Iii, O.D.
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Practice Location: 40 2nd St Nw, Cleveland, TN 37311
Phone: 423-476-5341    Fax: 423-472-0321
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Phone: 423-819-8118    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.