Dr Pamela A Blake, PHD - Medicare Psychologist in East Moriches, NY

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Dr Pamela A Blake, PHD is a medicare enrolled "Psychologist - Clinical" provider in East Moriches, New York. Her current practice location is 451 Montauk Hwy, East Moriches, New York. You can reach out to her office (for appointments etc.) via phone at (631) 255-5481.

Dr Pamela A Blake is licensed to practice in New York (license number 018090) 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 1215252630.

Contact Information

Dr Pamela A Blake, PHD
451 Montauk Hwy,
East Moriches, NY 11940-1357
(631) 255-5481
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Pamela A Blake
GenderFemale
SpecialityPsychologist - Clinical
Location451 Montauk Hwy, East Moriches, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215252630
  • Provider Enumeration Date: 03/29/2010
  • Last Update Date: 03/31/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1658516000
  • Enrollment ID: I20240530003873

Medical Identifiers

Medical identifiers for Dr Pamela A Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215252630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 018090 (New York)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 Pamela A 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
Dr Pamela A Blake, PHD
17 Annette Ln,
East Moriches, NY 11940-1508

Ph: (631) 255-5481		Dr Pamela A Blake, PHD
451 Montauk Hwy,
East Moriches, NY 11940-1357

Ph: (631) 255-5481

Reviews and Comments


Psychologist in East Moriches, NY

Dr. Alexander M Piekarski, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 587 Montauk Hwy, East Moriches, NY 11940
Phone: 631-878-1530    Fax: 631-878-5775
Steven Joel Goldstein,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Tuthill Point Rd, East Moriches, NY 11940
Phone: 914-419-2328    
Victoria D Damm,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Pine Edge Dr, East Moriches, NY 11940
Phone: 631-405-8192    

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