Dr John S Blake, MD - Medicare Dermatology in Roosevelt, UT

Dr John S Blake, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Roosevelt, Utah. He went to University Of Utah School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Northeastern Utah Medical Group and his current practice location is 210 W 300 N 7-3, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-3971.

Dr John S Blake is licensed to practice in Utah (license number 49109901205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508826587.

Contact Information

Dr John S Blake, MD
210 W 300 N 7-3,
Roosevelt, UT 84066
(435) 722-3971
(435) 722-6104



Physician's Profile

Full NameDr John S Blake
GenderMale
SpecialityDermatology
Experience36 Years
Location210 W 300 N 7-3, Roosevelt, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John S Blake attended and graduated from University Of Utah School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1508826587
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 05/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3173651395
  • Enrollment ID: I20100510000420

Medical Identifiers

Medical identifiers for Dr John S Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508826587NPI-NPPES
D3948MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 49109901205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uintah Basin Medical CenterRoosevelt, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Utah Medical Group296149660945

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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 John S Blake allows following entities to bill medicare on his behalf.
Entity NameUintah Basin Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871556217
PECOS PAC ID: 0244131944
Enrollment ID: O20040226000948

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Entity NameNortheastern Utah Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471

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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 John S 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 John S Blake, MD
210 W 300 N 7-3,
Roosevelt, UT 84066

Ph: (435) 722-3971
Dr John S Blake, MD
210 W 300 N 7-3,
Roosevelt, UT 84066

Ph: (435) 722-3971

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The presence of breast vascular calcifications found through common mammograms is associated with an increased risk of cardiovascular diseases in women, according to an article in the May Journal of Women's Health.

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Dermatology Doctors in Roosevelt, UT

Samuel M. Wilson, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 210 W 300 N, Roosevelt, UT 84066
Phone: 435-722-4691    Fax: 435-722-9291

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