Mrs Gina Renee Blake, PT - Medicare Physical Therapist in Flowery Branch, GA

Mrs Gina Renee Blake, PT is a medicare enrolled "Physical Therapist" provider in Flowery Branch, Georgia. Her current practice location is 4754 Martin Rd, Suite 200, Flowery Branch, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 967-4377.

Mrs Gina Renee Blake is licensed to practice in Georgia (license number 7434) 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 1053596569.

Contact Information

Mrs Gina Renee 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 NameMrs Gina Renee Blake
GenderFemale
SpecialityPhysical Therapist
Location4754 Martin Rd, Flowery Branch, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053596569
  • Provider Enumeration Date: 01/03/2008
  • Last Update Date: 12/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5193796092
  • Enrollment ID: I20040804000745

Medical Identifiers

Medical identifiers for Mrs Gina Renee Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053596569NPI-NPPES
11816396OtherGACAQH
20265I4817OtherGAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 7434 (Georgia)Primary

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. Mrs Gina Renee Blake allows following entities to bill medicare on her behalf.
Provider NameBack In The Game Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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. Mrs Gina Renee 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 AddressPractice Location Address
Mrs Gina Renee Blake, PT
4754 Martin Rd, Suite 200,
Flowery Branch, GA 30542-3507

Ph: (770) 967-4377
Mrs Gina Renee 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

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.