KHASHANA A. BLAKE MD – NPI #1356543490
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KHASHANA BLAKE is a physician located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1356543490 to KHASHANA BLAKE on June 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Oct 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KHASHANA BLAKE below.

NPI Profile for
KHASHANA A. BLAKE

NPI Number
1356543490
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KHASHANA A. BLAKE
Credentials
MD
Primary location
4692 BROWNSBORO RD
WINSTON-SALEM, NC 27106
Phone: (336) 251-1114 Fax: (336) 251-1117
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for KHASHANA BLAKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSNC1537W
MEDICAIDNC5912215
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NC 2009-01511

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
EASTERN VIRGINIA MEDICAL SCHOOL - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KHASHANA BLAKE is affiliated with the following medical group(s):
  • HOME HEALTH AGENCY
    • GENTIVA HEALTH SERVICES
      720 PARK CENTRE DRIVE, SUITE A
      KERNERSVILLE, NC 27284
  • NURSING HOME
    • CAMDEN HEALTH AND REHABILITATION
      1 MARITHE COURT
      GREENSBORO, NC 27407
    • GREENHAVEN HEALTH AND REHABILITATION CENTER
      801 GREENHAVEN DRIVE
      GREENSBORO, NC 27406
  • HOSPICE
    • HOSPICE AND PALLIATIVE CARE OF GREENSBORO
      2500 SUMMIT AVE
      GREENSBORO, NC 27405
    • HOSPICE OF THE PIEDMONT INC
      1801 WESTCHESTER DR
      HIGH POINT, NC 27262

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