Amira Blake, is a
Student In An Organized Health Care Education/training Program based in San Francisco, California. Amira Blake is licensed to practice in * (Not Available) (license number ) and her current practice location is
815 Hyde St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 530-2571.
NPI number for Amira Blake is 1225766009 and her current mailing address is 815 Hyde St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225766009.
Healthcare Provider's Profile
| Full Name | Amira Blake |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 815 Hyde St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225766009
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Amira Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225766009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Amira Blake 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 |
|---|
Amira Blake,
815 Hyde St,
San Francisco, CA 94109-5996
Ph: () - | Amira Blake,
815 Hyde St,
San Francisco, CA 94109-5996
Ph: (415) 530-2571 |
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