Dr Blake Knudson Isom, DO - Medicare Emergency Medicine in Harrisburg, PA

Dr Blake Knudson Isom, DO is a medicare enrolled "Emergency Medicine" physician in Harrisburg, Pennsylvania. His current practice location is 111 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 988-0000.

Dr Blake Knudson Isom is licensed to practice in Pennsylvania (license number OS016812) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336433788.

Contact Information

Dr Blake Knudson Isom, DO
111 S Front St,
Harrisburg, PA 17101-2010
(717) 988-0000
(717) 782-5716



Physician's Profile

Full NameDr Blake Knudson Isom
GenderMale
SpecialityEmergency Medicine
Location111 S Front St, Harrisburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336433788
  • Provider Enumeration Date: 06/02/2011
  • Last Update Date: 01/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931327673
  • Enrollment ID: I20140821002208

Medical Identifiers

Medical identifiers for Dr Blake Knudson Isom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336433788NPI-NPPES
102949254MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS016812 (Pennsylvania)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. Dr Blake Knudson Isom allows following entities to bill medicare on his behalf.
Entity NamePinnacle Health Emergency Department Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693404
PECOS PAC ID: 0143124701
Enrollment ID: O20031125000218

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Entity NameThe Milton S Hershey Medical Center Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710951744
PECOS PAC ID: 3870405483
Enrollment ID: O20040225000741

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Entity NamePinnacle Health Observation Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316341241
PECOS PAC ID: 9537481528
Enrollment ID: O20141202001034

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› Verified 1 days ago

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 Blake Knudson Isom 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 Blake Knudson Isom, DO
409 S 2nd St, Suite 2f,
Harrisburg, PA 17104-1612

Ph: () -
Dr Blake Knudson Isom, DO
111 S Front St,
Harrisburg, PA 17101-2010

Ph: (717) 988-0000

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› Verified 1 days ago


Emergency Medicine Doctors in Harrisburg, PA

Joseph Eli Benaknin, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5908    Fax: 717-782-5716
Dr. Katie J Miller, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716
Dr. Andrea Marguerite Sterste, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716
Dr. Gerald Edward Fronko, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716
Dr. Nina L Elliott, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716
Dr. Jonathan S Rill, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716
Dr. Tyler Thomas Hempel, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716

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