Benjamin Blaylock, PA is a
Physician Assistant based in Rockvale, Tennessee. Benjamin Blaylock is licensed to practice in * (Not Available) (license number ) and his current practice location is
5210 Danbury Ct, Rockvale, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 785-0481.
NPI number for Benjamin Blaylock is 1033024237 and his current mailing address is 5210 Danbury Ct, Rockvale, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033024237.
Provider's Profile
| Full Name | Benjamin Blaylock |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 5210 Danbury Ct, Rockvale, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033024237
- Provider Enumeration Date: 08/14/2026
- Last Update Date: 08/14/2026
Medical Identifiers
Medical identifiers for Benjamin Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033024237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Benjamin Blaylock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Blaylock, PA
5210 Danbury Ct,
Rockvale, TN 37153-4470
Ph: Not Available | Benjamin Blaylock, PA
5210 Danbury Ct,
Rockvale, TN 37153-4470
Ph: (615) 785-0481 |
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