Marcia Ellen Blake, OD in Chicago, IL - Medicare Optometrist Provider

Marcia Ellen Blake, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. Her current practice location is 1903 W 103rd St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 233-7799.

Marcia Ellen Blake is licensed to practice in Illinois (license number 046-006808) 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 1053490219.

Contact Information

	Marcia Ellen Blake, OD
	1903 W 103rd St, Chicago, IL 60643-2624
	(773) 233-7799
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marcia Ellen Blake
Gender	Female
Speciality	Optometrist
Location	1903 W 103rd St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053490219
Provider Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3577759448
Enrollment ID: I20101118000634

Medical Identifiers

Medical identifiers for Marcia Ellen Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053490219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046-006808 (Illinois)	Primary
152W00000X	Optometrist	1664 (Minnesota)	Secondary

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. Marcia Ellen Blake allows following entities to bill medicare on her behalf.

Provider Name	Rosin Optical Co Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262

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. Marcia Ellen 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
Marcia Ellen Blake, OD 10225 S Oakley Ave, Chicago, IL 60643-1915 Ph: (773) 233-3892	Marcia Ellen Blake, OD 1903 W 103rd St, Chicago, IL 60643-2624 Ph: (773) 233-7799

Reviews and Comments

Optometrist in Chicago, IL

Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774

Marcia Ellen Blake, OD - Medicare Optometrist in Chicago, IL