Kendall T Blake, MD in Jackson, MS - Medicare Orthopaedic Surgery

Kendall T Blake, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Dept Of Orthopedics, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-6525.

Kendall T Blake is licensed to practice in Mississippi (license number 06797) 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 1427072966.

Contact Information

	Kendall T Blake, MD
	2500 N State St, Dept Of Orthopedics, Jackson, MS 39216-4500
	(601) 984-6525
	Not Available

Physician's Profile

Full Name	Kendall T Blake
Gender	Male
Speciality	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427072966
Provider Enumeration Date: 07/27/2006
Last Update Date: 03/07/2014

Medicare PECOS Information:

PECOS PAC ID: 7911987052
Enrollment ID: I20040721000319

Medical Identifiers

Medical identifiers for Kendall T Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427072966	NPI	-	NPPES
00116141	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0117X	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine	06797 (Mississippi)	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. Kendall T Blake allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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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. Kendall T 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
Kendall T Blake, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6426	Kendall T Blake, MD 2500 N State St, Dept Of Orthopedics, Jackson, MS 39216-4500 Ph: (601) 984-6525

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Orthopaedic Surgery Doctors in Jackson, MS

Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-949-9106 Fax: 601-914-1835
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525
Dr. Spencer Montgomery, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525
Dr. E Frazier Ward, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 North State Street, Orthopaedic Surgery, Jackson, MS 39216 Phone: 601-984-6525 Fax: 601-984-5151

Kendall T Blake, MD - Medicare Orthopaedic Surgery in Jackson, MS

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Understanding genetic factors that affect Crohn's disease risk

Imaging scans do little help to detect relapse of diffuse large B-cell lymphoma

Resting-state brainwaves altered in schizophrenia

USP researchers develop new platform to detect 416 viruses from tropical regions

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Understanding genetic factors that affect Crohn's disease risk

Imaging scans do little help to detect relapse of diffuse large B-cell lymphoma

Resting-state brainwaves altered in schizophrenia

USP researchers develop new platform to detect 416 viruses from tropical regions

Orthopaedic Surgery Doctors in Jackson, MS