Jaren H Blake, MD - Family Medicine in Provo, UT

Jaren H Blake, MD is a Family Medicine physician based in Provo, Utah. Jaren H Blake is licensed to practice in Utah (license number 8115390-1205) and his current practice location is 777 N 500 W Ste 101a, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (385) 375-7989.

NPI number for Jaren H Blake is 1841217858 and his current mailing address is 3214 N University Ave # 116, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841217858.

Contact Information

Jaren H Blake, MD
777 N 500 W Ste 101a,
Provo, UT 84601-1594
(385) 375-7989
Not Available



Physician's Profile

Full NameJaren H Blake
GenderMale
SpecialityFamily Medicine
Location777 N 500 W Ste 101a, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841217858
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 08/24/2022

Medical Identifiers

Medical identifiers for Jaren H Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841217858NPI-NPPES
291778OtherIDALTIUS OLD
76744OtherIDBLUE CROSS OLD
76965OtherIDBLUE CROSS
000010157782OtherIDREGENCE BLUE SHIELD
313147OtherIDALTIUS
807555200MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M-9562 (Idaho)Secondary
207Q00000XFamily Medicine 8115390-1205 (Utah)Primary
207Q00000XFamily Medicine 14222 (Nevada)Secondary

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. Jaren H Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaren H Blake, MD
3214 N University Ave # 116,
Provo, UT 84604-4405

Ph: () -
Jaren H Blake, MD
777 N 500 W Ste 101a,
Provo, UT 84601-1594

Ph: (385) 375-7989

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Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601
Phone: 801-852-1443    
Janee Namealoha Sells, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604
Phone: 385-375-8724    
Dr. Marlin L Christianson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 West 940 North, Provo, UT 84604
Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604
Phone: 801-357-1770    
Mr. Gregory Lawrence Nielsen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604
Phone: 801-422-2771    Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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