Dr Blake Michael Burch I, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Seattle, Washington. His current practice location is
1959 Ne Pacific St, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 598-2094.
Dr Blake Michael Burch I is licensed to practice in * (Not Available) (license number ) 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 1811646227.
Healthcare Provider's Profile
Full Name | Dr Blake Michael Burch I |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811646227
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476937558
- Enrollment ID: I20220909000025
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
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 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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