| Benjamin Blake, PA-C | |
|
2600 Ottawa Rd, Neodesha, KS 66757-1897 | |
| (620) 325-2611 | |
| (620) 325-8453 |
| Full Name | Benjamin Blake |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2600 Ottawa Rd, Neodesha, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053806539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02102 (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilson Medical Center | Neodesha, KS | Hospital |
| Caldwell Regional Medical Center | Caldwell, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilson County Hospital | 0042273971 | 10 |
| Sumner County Hospital District No 1 | 6103925268 | 20 |
| Entity Name | James M Mcdermott |
|---|---|
| Entity Type | Practitioner - Family Practice |
| Entity Identifiers | NPI Number: 1427079953 PECOS PAC ID: 6002881711 Enrollment ID: I20040826001257 |
| Entity Name | Wilson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992842942 PECOS PAC ID: 0042273971 Enrollment ID: O20041119000995 |
| Entity Name | Sumner County Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20070702000057 |
| Entity Name | Sumner County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20080926000428 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Kristopher E Kuszak, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 Ottawa Rd, Neodesha, KS 66757 Phone: 620-325-2611 |
Mrs. Ashley Gail Bemo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 Ottawa Rd, Neodesha, KS 66757 Phone: 620-325-2622 |