Mr Brendon Blake, PT in Flowery Branch, GA - Medicare Physical Therapy Provider

Mr Brendon Blake, PT is a medicare enrolled "Physical Therapist" provider in Flowery Branch, Georgia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Back In The Game Physical Therapy, Inc and his current practice location is 4754 Martin Rd, Suite 200, Flowery Branch, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 967-4377.

Mr Brendon Blake is licensed to practice in Georgia (license number 7433) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508804428.

Contact Information

	Mr Brendon Blake, PT
	4754 Martin Rd, Suite 200, Flowery Branch, GA 30542-3507
	(770) 967-4377
	(770) 967-8077

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brendon Blake
Gender	Male
Speciality	Physical Therapy
Experience	25 Years
Location	4754 Martin Rd, Flowery Branch, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brendon Blake graduated from medical school in 1999

NPI Data:

NPI Number: 1508804428
Provider Enumeration Date: 06/03/2006
Last Update Date: 12/12/2011

Medicare PECOS Information:

PECOS PAC ID: 9830160738
Enrollment ID: I20040804000620

Medical Identifiers

Medical identifiers for Mr Brendon Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508804428	NPI	-	NPPES
857620906E	Medicaid	GA
202I654821	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7433 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Back In The Game Physical Therapy, Inc	9133380082	14

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. Mr Brendon Blake allows following entities to bill medicare on his behalf.

Provider Name	Back In The Game Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962669275 PECOS PAC ID: 9133380082 Enrollment ID: O20120419000722

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. Mr Brendon 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
Mr Brendon Blake, PT 4754 Martin Rd, Suite 200, Flowery Branch, GA 30542-3507 Ph: (770) 967-4377	Mr Brendon Blake, PT 4754 Martin Rd, Suite 200, Flowery Branch, GA 30542-3507 Ph: (770) 967-4377

Reviews and Comments

Physical Therapist in Flowery Branch, GA

Mrs. Gina Renee Blake, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4754 Martin Rd, Suite 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077
Rudo Alice Takawira, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4595 Cantrell Rd, Flowery Branch, GA 30542 Phone: 770-967-2070
Casey Lord, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 Falcon Pkwy, Flowery Branch, GA 30542 Phone: 404-778-6390
Joseph B Taylor, PT,DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5887 Spout Springs Rd Ste D403, Flowery Branch, GA 30542 Phone: 770-967-9301 Fax: 770-967-9526
Wonder Therapeutic Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4875 Hog Mountain Rd Ste B, Flowery Branch, GA 30542 Phone: 404-406-8272 Fax: 770-965-1008
Trey M Short, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4754 Martin Rd Ste 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077
Stephen Mayo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4754 Martin Rd # 200, Flowery Branch, GA 30542 Phone: 770-967-4377

Mr Brendon Blake, PT - Medicare Physical Therapist in Flowery Branch, GA