Dr Doreen Blake, MD - Medicare Internal Medicine in Largo, MD

Dr Doreen Blake, MD is a medicare enrolled "Internal Medicine" physician in Largo, Maryland. She went to George Washington University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Luminis Health Medical Group, Llc and her current practice location is 1450 Mercantile Ln, Suite 111, Largo, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 925-7610.

Dr Doreen Blake is licensed to practice in Maryland (license number D39421) 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 1043209331.

Contact Information

Dr Doreen Blake, MD
1450 Mercantile Ln, Suite 111,
Largo, MD 20774-5376
(301) 925-7610
Not Available



Physician's Profile

Full NameDr Doreen Blake
GenderFemale
SpecialityInternal Medicine
Experience37 Years
Location1450 Mercantile Ln, Largo, Maryland
Accepts Medicare AssignmentsYes. 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 Doreen Blake attended and graduated from George Washington University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1043209331
  • Provider Enumeration Date: 10/19/2005
  • Last Update Date: 06/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1456301951
  • Enrollment ID: I20110523000015

Medical Identifiers

Medical identifiers for Dr Doreen Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043209331NPI-NPPES
116600000MedicaidMD
P01298022OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D39421 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anne Arundel Medical CenterAnnapolis, MDHospital
Medstar Washington Hospital CenterWashington, DCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Luminis Health Medical Group, Llc2860447315431

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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 Doreen Blake allows following entities to bill medicare on her behalf.
Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649248485
PECOS PAC ID: 2860447315
Enrollment ID: O20080707000490

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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 Doreen 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 Doreen Blake, MD
P.o. Box 12622,
Belfast, ME 04915-4017

Ph: (443) 481-6580
Dr Doreen Blake, MD
1450 Mercantile Ln, Suite 111,
Largo, MD 20774-5376

Ph: (301) 925-7610

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Read more News

› Verified 8 days ago


Internal Medicine Doctors in Largo, MD

Dr. Lynn Anetta Thomas, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774
Phone: 301-618-5500    
Dr. Rupa Allam Varma, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Mercantile Avenue, Largo, MD 20774
Phone: 301-618-5500    Fax: 301-618-5673
Dr. Nancy Fleurancois, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Mercantile Ln Ste 102, Largo, MD 20774
Phone: 301-368-1500    
Dr. Cielito M Aguinaldo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774
Phone: 301-618-5500    
Dr. Surendra M Kumar, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Mercantile Ln, Ste 135, Largo, MD 20774
Phone: 301-773-9700    
Dr. Jerry Wendell Mcconnell, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Mercantile Lane, Largo, MD 20774
Phone: 301-618-5578    Fax: 301-618-5673

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