Dr Blake Michael Burch I, DO is a
Student In An Organized Health Care Education/training Program based in Seattle, Washington. Dr Blake Michael Burch I is licensed to practice in * (Not Available) (license number ) and his current practice location is
1959 Ne Pacific St, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 598-2094.
NPI number for Dr Blake Michael Burch I is 1811646227 and his current mailing address is 1959 Ne Pacific Street Box 357115, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811646227.
Healthcare Provider's Profile
| Full Name | Dr Blake Michael Burch I |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1959 Ne Pacific St, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811646227
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Dr Blake Michael Burch I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811646227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 58876 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | OL61423697 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Michael Burch I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Blake Michael Burch I, DO
1959 Ne Pacific Street Box 357115,
Seattle, WA 98195-7115
Ph: (206) 598-2094 | Dr Blake Michael Burch I, DO
1959 Ne Pacific St,
Seattle, WA 98195-5156
Ph: (206) 598-2094 |
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