Mr Blake Hawk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN

Mr Blake Hawk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice United Surgeons Llc, Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 523-3193.

Mr Blake Hawk is licensed to practice in Indiana (license number 28198864A) 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 1417409251.

Contact Information

Mr Blake Hawk, CRNA
600 East Blvd,
Elkhart, IN 46514-2483
(574) 523-3193
Not Available



Provider's Profile

Full NameMr Blake Hawk
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location600 East Blvd, Elkhart, Indiana
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:
  • Mr Blake Hawk graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1417409251
  • Provider Enumeration Date: 10/27/2016
  • Last Update Date: 10/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183906910
  • Enrollment ID: I20170131000674

Medical Identifiers

Medical identifiers for Mr Blake Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417409251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28198864A (Indiana)Primary
367500000XNurse Anesthetist, Certified Registered RN.400991 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Surgeons Llc094126006117
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179077

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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. Mr Blake Hawk allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841245594
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724

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Entity NameNorthern Indiana Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083639660
PECOS PAC ID: 1456321413
Enrollment ID: O20040727001614

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Entity NameUnited Surgeons Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518197011
PECOS PAC ID: 0941260061
Enrollment ID: O20110330000083

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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. Mr Blake Hawk 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
Mr Blake Hawk, CRNA
202 Orchard Park Dr,
Wakarusa, IN 46573-9738

Ph: (574) 354-7556
Mr Blake Hawk, CRNA
600 East Blvd,
Elkhart, IN 46514-2483

Ph: (574) 523-3193

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Spain is leading the world in deceased organ donation. A new article published in the American Journal of Transplantation contains important information that can help other countries learn from the success of the Spanish system to help address the worldwide problem of transplant organ shortages.

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› Verified 5 days ago


Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514
Phone: 574-522-9922    
Mark Mcpherson, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    
Ms. Barbara Ann Doherty, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516
Phone: 574-522-9922    Fax: 574-522-9926
Naznin Lalani, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514
Phone: 574-522-9922    
Joshua Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-294-2621    
Lindsay Vasil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516
Phone: 574-523-3193    
Denise Christine Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    Fax: 574-523-3463

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