Blake Medical Care Sc - Medicare Primary Care in Libertyville, IL

Blake Medical Care Sc is a medicare enrolled primary clinic (Family Medicine) in Libertyville, Illinois. The current practice location for Blake Medical Care Sc is 131 E Park Ave Ste 103, Libertyville, Illinois. For appointments, you can reach them via phone at (847) 984-3290. The mailing address for Blake Medical Care Sc is 1350 Country Ct, Libertyville, Illinois and phone number is (847) 984-3290.

Blake Medical Care Sc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013663749. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (847) 984-3290.

Contact Information

Blake Medical Care Sc
131 E Park Ave Ste 103
Libertyville
IL 60048-2858
(847) 984-3290
Not Available

Primary Care Clinic Profile

Full NameBlake Medical Care Sc
SpecialityFamily Medicine
Location131 E Park Ave Ste 103, Libertyville, Illinois
Authorized Official Name and PositionKatherine Blake (PRESIDENT)
Authorized Official Contact8479843290
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Medical Care Sc
1350 Country Ct
Libertyville
IL 60048-1029

Ph: (847) 984-3290
Blake Medical Care Sc
131 E Park Ave Ste 103
Libertyville
IL 60048-2858

Ph: (847) 984-3290

NPI Details:

NPI Number1013663749
Provider Enumeration Date02/22/2022
Last Update Date02/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4486032331
Medicare Enrollment IDO20220604000332

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Medical Identifiers

Medical identifiers for Blake Medical Care Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013663749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Blake Medical Care Sc acts as a billing entity for following providers:
Provider NameKatherine M Blake
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225304322
PECOS PAC ID: 0042524480
Enrollment ID: I20180322002510

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