Wendy Blake, SLP in Canton, GA - Medicare Qualified Speech Language Pathologist Provider

Wendy Blake, SLP is a medicare enrolled "Speech-language Pathologist" provider in Canton, Georgia. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Inclusive Rehabilitation and her current practice location is 133 Gold Mill Pl, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (703) 400-5518.

Wendy Blake is licensed to practice in Georgia (license number SLP006297) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609010529.

Contact Information

	Wendy Blake, SLP
	133 Gold Mill Pl, Canton, GA 30114-4025
	(703) 400-5518
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendy Blake
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	23 Years
Location	133 Gold Mill Pl, Canton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wendy Blake graduated from medical school in 2001

NPI Data:

NPI Number: 1609010529
Provider Enumeration Date: 04/22/2009
Last Update Date: 07/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8628471695
Enrollment ID: I20210728002212

Medical Identifiers

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

Identifier	Type	State	Issuer
1609010529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP006297 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inclusive Rehabilitation	3476958976	5

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. Wendy Blake allows following entities to bill medicare on her behalf.

Provider Name	Horizons Therapy Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720373020 PECOS PAC ID: 5496781627 Enrollment ID: O20110621000685

Provider Name	Inclusive Rehabilitation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417525916 PECOS PAC ID: 3476958976 Enrollment ID: O20210821000144

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. Wendy 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
Wendy Blake, SLP 133 Gold Mill Pl, Canton, GA 30114-4025 Ph: (703) 400-5518	Wendy Blake, SLP 133 Gold Mill Pl, Canton, GA 30114-4025 Ph: (703) 400-5518

Reviews and Comments

Speech-Language Pathologist in Canton, GA

Donna Fox, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Riverstone Dr Ste B, Canton, GA 30114 Phone: 770-345-7796
Cheryl Marie Kane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 Riverstone Dr, Canton, GA 30114 Phone: 770-345-7796
Mrs. Katelyn Victoria Martino, CCC-M.ED. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 Academy St Ste 102, Canton, GA 30114 Phone: 404-444-1521
Stephanie Nicole Post, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Riverstone Dr, Canton, GA 30114 Phone: 770-345-7796
Mrs. Stephanie L Mello, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 Hammond Dr, Canton, GA 30114 Phone: 678-492-0400 Fax: 678-493-2052
Alexa Larcinese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 Hospital Cir, Canton, GA 30114 Phone: 770-479-5649
Carolyn Pellegrino, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12875 Cumming Hwy, Canton, GA 30115 Phone: 770-240-0163 Fax: 770-240-0163

Wendy Blake, SLP - Medicare Speech-Language Pathologist in Canton, GA