Shaun Roland Blake, DPT in Encinitas, CA - Medicare Physical Therapy Provider

Shaun Roland Blake, DPT is a medicare enrolled "Physical Therapist" provider in Encinitas, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Avera Mckennan and his current practice location is 332 Santa Fe Dr, Ste 120, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (760) 942-4400.

Shaun Roland Blake is licensed to practice in California (license number 38074) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255619490.

Contact Information

	Shaun Roland Blake, DPT
	332 Santa Fe Dr, Ste 120, Encinitas, CA 92024-5143
	(760) 942-4400
	(760) 942-4450

Map and Direction

Healthcare Provider's Profile

Full Name	Shaun Roland Blake
Gender	Male
Speciality	Physical Therapy
Experience	16 Years
Location	332 Santa Fe Dr, Encinitas, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shaun Roland Blake graduated from medical school in 2008

NPI Data:

NPI Number: 1255619490
Provider Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011

Medicare PECOS Information:

PECOS PAC ID: 3173793270
Enrollment ID: I20190103001063

Medical Identifiers

Medical identifiers for Shaun Roland Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255619490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	38074 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Mckennan	0345157103	833

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. Shaun Roland Blake allows following entities to bill medicare on his behalf.

Provider Name	Avera Mckennan
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

Provider Name	Sacred Heart Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978

Provider Name	City Of Brookings
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002

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. Shaun Roland 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
Shaun Roland Blake, DPT 332 Santa Fe Dr, Ste 120, Encinitas, CA 92024-5143 Ph: (760) 942-4400	Shaun Roland Blake, DPT 332 Santa Fe Dr, Ste 120, Encinitas, CA 92024-5143 Ph: (760) 942-4400

Reviews and Comments

Physical Therapist in Encinitas, CA

Aktive Physical Therapy A Professional Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789a Saxony Rd, Encinitas, CA 92024 Phone: 914-703-1029
Allen Namboothiri, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1092 N El Camino Real, Encinitas, CA 92024 Phone: 760-633-6507
Erin Donovan Olsen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1830 Blue Bonnet Pl, Encinitas, CA 92024 Phone: 760-632-2495 Fax: 760-632-2495
Audra Jahn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 332 Santa Fe Dr, Ste 120, Encinitas, CA 92024 Phone: 760-942-4400 Fax: 760-942-4450
Susan Marie Andersen I, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 Meadow Vista Way, Encinitas, CA 92024 Phone: 619-818-8316
Onyx Pt And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 681 2nd St Ste 101, Encinitas, CA 92024 Phone: 985-778-5176
Dr. Danae Narvaza, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Encinitas Blvd Ste 210, Encinitas, CA 92024 Phone: 760-487-5118

Shaun Roland Blake, DPT - Medicare Physical Therapist in Encinitas, CA