Peter Jonathan Blake, PA
Peter Jonathan Blake, PA is a Physician Assistant in Barre, Massachusetts. Qualified in 2021, 5 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.
- Years since qualifying
- 5
- Licensed in
- MA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
151 Worcester RdBarre, MA 01005-9002
Phone: (783) 556-3219
Fax: (978) 355-6549
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA8403 (MA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA8403 (MA) |
Record details
| NPI number | 1760029862 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 8, 2019 |
| Last updated in NPPES | May 2, 2023 |
| Certification date | May 2, 2023 |
| Mailing address | Po Box 415348, Boston, MA 02241-5348 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Umass Memorial Medical Group Inc — 2467 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |