Dr Blake Carlisle, OD in Fairview, OK - Medicare Optometry Provider

Dr Blake Carlisle, OD is a medicare enrolled "Optometrist" provider in Fairview, Oklahoma. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Be Thou My Vision Pc and his current practice location is 111 E Broadway, Fairview, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 227-4878.

Dr Blake Carlisle is licensed to practice in Oklahoma (license number 2804) 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 1073921524.

Contact Information

	Dr Blake Carlisle, OD
	111 E Broadway, Fairview, OK 73737-2124
	(580) 227-4878
	(580) 227-4666

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Blake Carlisle
Gender	Male
Speciality	Optometry
Experience	10 Years
Location	111 E Broadway, Fairview, Oklahoma
Accepts Medicare Assignments	Yes. 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 Carlisle graduated from medical school in 2014

NPI Data:

NPI Number: 1073921524
Provider Enumeration Date: 07/29/2014
Last Update Date: 07/29/2014

Medicare PECOS Information:

PECOS PAC ID: 9638390826
Enrollment ID: I20141103000978

Medical Identifiers

Medical identifiers for Dr Blake Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073921524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2804 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Be Thou My Vision Pc	5496837957	3

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 Carlisle allows following entities to bill medicare on his behalf.

Provider Name	Northeastern State University College Of Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437106333 PECOS PAC ID: 0941112528 Enrollment ID: O20031103000296

Provider Name	Be Thou My Vision Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225183957 PECOS PAC ID: 5496837957 Enrollment ID: O20080123000668

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 Carlisle 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
Dr Blake Carlisle, OD 111 E Broadway, Fairview, OK 73737-2124 Ph: (580) 227-4878	Dr Blake Carlisle, OD 111 E Broadway, Fairview, OK 73737-2124 Ph: (580) 227-4878

Reviews and Comments

Optometrist in Fairview, OK

Mr. Max L Carlisle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 E Broadway, Fairview, OK 73737 Phone: 580-227-4878 Fax: 580-227-4666
Be Thou My Vision Optometrist Medicare: Medicare Enrolled Practice Location: 111 E Broadway, Fairview, OK 73737 Phone: 580-227-4878 Fax: 580-227-4666
Dr. Linda G. Barton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 Cardinal Cir, Fairview, OK 73737 Phone: 580-227-2090

Dr Blake Carlisle, OD - Medicare Optometrist in Fairview, OK