Mr Philip Benjamin Bly, PA-C is a medicare enrolled "Physician Assistant" provider in Harrisonburg, Virginia. His current practice location is
16 Pleasant Hill Rd, Harrisonburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 704-4845.
Mr Philip Benjamin Bly is licensed to practice in Virginia (license number 0019004815) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609509363.
Healthcare Provider's Profile
Full Name | Mr Philip Benjamin Bly |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 16 Pleasant Hill Rd, Harrisonburg, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609509363
- Provider Enumeration Date: 07/08/2022
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193191948
- Enrollment ID: I20221019000620
Medical Identifiers
Medical identifiers for Mr Philip Benjamin Bly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609509363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019004815 (Virginia) | Secondary |
363A00000X | Physician Assistant | 0019004815 (Virginia) | Primary |
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. Mr Philip Benjamin Bly 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 |
Mr Philip Benjamin Bly, PA-C 615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457 Ph: (833) 510-4357 | Mr Philip Benjamin Bly, PA-C 16 Pleasant Hill Rd, Harrisonburg, VA 22801-5709 Ph: (757) 704-4845 |
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