BLECK EXILUS - NPI 1134935273 - Nurse Practitioner in Darby, PA

Q: What is Bleck Exilus's NPI number?

The NPI number for Bleck Exilus is 1134935273. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Q: What is Bleck Exilus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Bleck Exilus was last updated on December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bleck Exilus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLECK EXILUS (NPI 1134935273) is an individual psychiatric/mental health provider in Darby, Pennsylvania, licensed in Pennsylvania (SP031538) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134935273

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBLECK EXILUS

Location Address14-20 MACDADE BLVD STE ADarby, PA 19023-1822

Mailing Address14-20 Macdade Blvd Ste ADarby, PA 19023-1822 · (610) 522-4506

Phone(610) 522-4506

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 4, 2024

NPPES CertifiedDecember 4, 2024

✔ NPI 1134935273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP031538

14-20 MACDADE BLVD STE A, Darby, PA 19023

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bleck Exilus is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274020037

PECOS Enrollment IDI20251015000433

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVIVA MENTAL HEALTH SERVICES INC

Clinic/Center (Mental Health (Including Community Mental Health Center))