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SUZZANE MARIE BLAKE MD
NPI 1689698946
Family Medicine in Carthage, TX

Active since July 27, 2006PECOS Enrolled
4188 NW LOOP, CARTHAGE, TX 75633(903) 315-4160(903) 690-0801 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suzzane Marie Blake Md NPPES

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

SUZZANE MARIE BLAKE MD (NPI 1689698946) is an individual family medicine provider in Carthage, Texas, licensed in Texas (J9976) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689698946
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUZZANE MARIE BLAKECredential: MD
Location Address4188 NW LOOPCarthage, TX 75633-2255
Mailing Address4188 Nw LoopCarthage, TX 75633-2255 · (903) 315-4160 · Fax (903) 690-0801
Phone(903) 315-4160
Fax(903) 690-0801
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 1, 2012
✔ NPI 1689698946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J9976
Definition
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.
4188 NW LOOP, Carthage, TX 75633
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Other Identifiers 7

Medicare PIN8EC955AK
Medicare UPING00269
Medicare PIN8EC953AK
Medicare PIN8EC951AK
MedicaidMD5815AK
Medicare PIN8EC952AK
Medicare PIN8EC954AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzzane Marie Blake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Suzzane Blake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mother Frances Hospital Jacksonville
54 mi
Critical Access
2026 S JACKSON ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1952306672 (903) 541-4500
Mother Frances Hospital Regional Health Care Center
56 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441
Christus Trinity Clinic Texas
56 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75633 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$16.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PANOLA DENTAL, PLLC
Clinic/Center (Dental)
4188 NW LOOP
CARTHAGE, TX 75633
Panola County (903) 508-5762
HAYLEE RENE GARCIA DDS
Dentist
4188 NW LOOP
CARTHAGE, TX 75633
Panola County (903) 508-5762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzzane Blake's NPI number?

The NPI number for Suzzane Blake is 1689698946. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Suzzane Blake located?

Suzzane Blake practices at 4188 NW Loop, Carthage, TX 75633. The listed phone number is (903) 315-4160.

What is Suzzane Blake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suzzane Blake enrolled in Medicare?

Yes. Suzzane Blake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suzzane Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzzane Blake reassigns Medicare benefits to 3 organizations: Mother Frances Hospital Jacksonville (Jacksonville, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Christus Trinity Clinic Texas (Tyler, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suzzane Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzzane Blake accept?

Health plans from Blue Cross and Blue Shield of Texas list Suzzane Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzzane Blake was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.