Benjamin Blake, PA-C is a medicare enrolled "Physician Assistant" in Neodesha, Kansas. He graduated from nursing 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 Wilson County Hospital, Sumner County Hospital District No 1 and his current practice location is
2600 Ottawa Rd, Neodesha, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 325-2611.
Benjamin Blake is licensed to practice in * (Not Available) (license number 15-02102) 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 1053806539.
Provider's Profile
| Full Name | Benjamin Blake |
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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 | 2600 Ottawa Rd, Neodesha, Kansas |
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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:
- Benjamin Blake graduated from nursing school in 2018
NPI Data:
- NPI Number: 1053806539
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234486853
- Enrollment ID: I20180727000063
Medical Identifiers
Medical identifiers for Benjamin Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053806539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 15-02102 (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wilson County Hospital | 0042273971 | 8 |
| Sumner County Hospital District No 1 | 6103925268 | 11 |
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. Benjamin Blake 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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Benjamin Blake, PA-C
Po Box 360,
Neodesha, KS 66757-0360
Ph: (620) 325-2611 | Benjamin Blake, PA-C
2600 Ottawa Rd,
Neodesha, KS 66757-1897
Ph: (620) 325-2611 |
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