Blake Grayson Joeckel, MMS, PA-C is a medicare enrolled "Physician Assistant" physician in Fayetteville, North Carolina. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cape Fear Valley Health Medical Group Llc and his current practice location is
116 Country Club Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 488-0157.
Blake Grayson Joeckel is licensed to practice in North Carolina (license number 0010-08813) 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 1760946180.
Physician's Profile
| Full Name | Blake Grayson Joeckel |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 116 Country Club Dr, Fayetteville, North Carolina |
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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 Grayson Joeckel graduated from medical school in 2018
NPI Data:
- NPI Number: 1760946180
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082944723
- Enrollment ID: I20190924001364
Medical Identifiers
Medical identifiers for Blake Grayson Joeckel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760946180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0010-08813 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-08813 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cape Fear Valley Health Medical Group Llc | 0648707109 | 119 |
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 Grayson Joeckel 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 |
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Blake Grayson Joeckel, MMS, PA-C
3677 Glenbarry Cir,
Fayetteville, NC 28314-2605
Ph: (910) 273-5150 | Blake Grayson Joeckel, MMS, PA-C
116 Country Club Dr,
Fayetteville, NC 28301-7604
Ph: (910) 488-0157 |
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