Dr Diane R Blake, MD in Worcester, MA - Medicare

Dr Diane R Blake, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Department Of Adolescent Medicine, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 856-5624.

Dr Diane R Blake is licensed to practice in Massachusetts (license number 154470) 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 1316921182.

Contact Information

	Dr Diane R Blake, MD
	55 Lake Ave N, Department Of Adolescent Medicine, Worcester, MA 01655-0002
	(508) 856-5624
	Not Available

Physician's Profile

Full Name	Dr Diane R Blake
Gender	Female
Speciality
Experience	Years
Location	55 Lake Ave N, Worcester, Massachusetts
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:

Dr Diane R Blake attended and graduated from in

NPI Data:

NPI Number: 1316921182
Provider Enumeration Date: 12/05/2005
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Diane R Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316921182	NPI	-	NPPES
3169863	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	154470 (Massachusetts)	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 Diane R 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
Dr Diane R Blake, MD Po Box 62, Turnpike Station, Shrewsbury, MA 01545-0062 Ph: (508) 334-8815	Dr Diane R Blake, MD 55 Lake Ave N, Department Of Adolescent Medicine, Worcester, MA 01655-0002 Ph: (508) 856-5624

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Pediatrics Doctors in Worcester, MA

Marissa E Parrillo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-5545 Fax: 774-443-7042
Dr. Penny M. Feldman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8081 Fax: 774-441-8055
Dr. Linda D Sagor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-856-4198 Fax: 508-856-1042
Dr. Robert W Zavoski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 Fax: 508-860-7925
Cornelius T Tyrrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-334-7986 Fax: 508-334-7989
Callie M Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Nura El-haj, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8083 Fax: 774-441-8057

Dr Diane R Blake, MD - Medicare in Worcester, MA