Blake Coffman, is a medicare enrolled "Nurse Practitioner" physician in Jackson, Tennessee. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lexington Clinic Corp and his current practice location is
64 Palmer Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 614-0728.
Blake Coffman is licensed to practice in Tennessee (license number 35606) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578262192.
Physician's Profile
| Full Name | Blake Coffman |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 64 Palmer Dr, Jackson, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Blake Coffman graduated from medical school in 2023
NPI Data:
- NPI Number: 1578262192
- Provider Enumeration Date: 03/02/2023
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749795011
- Enrollment ID: I20250715003423
Medical Identifiers
Medical identifiers for Blake Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578262192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 35606 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 35606 (Tennessee) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 35606 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 35606 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 35606 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35606 (Tennessee) | Secondary |
| 208600000X | Surgery | 35606 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 35606 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lexington Clinic Corp | 2466468558 | 18 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Coffman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blake Coffman,
64 Palmer Dr,
Jackson, TN 38305-8029
Ph: (731) 614-0728 | Blake Coffman,
64 Palmer Dr,
Jackson, TN 38305-8029
Ph: (731) 614-0728 |
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