Blake Alexander Medley, is a medicare enrolled "Physician Assistant" in Talbott, Tennessee. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Primary Care Associates, Pc and his current practice location is
204 Shaver Dr, Talbott, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 581-7040.
Blake Alexander Medley is licensed to practice in Tennessee (license number 4617) 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 1043880834.
Provider's Profile
| Full Name | Blake Alexander Medley |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 204 Shaver Dr, Talbott, Tennessee |
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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 Alexander Medley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1043880834
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830591270
- Enrollment ID: I20210708000763
Medical Identifiers
Medical identifiers for Blake Alexander Medley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043880834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4617 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Primary Care Associates, Pc | 9931179041 | 3 |
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 Alexander Medley 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 |
|---|
Blake Alexander Medley,
204 Shaver Dr,
Talbott, TN 37877-8552
Ph: (423) 581-7040 | Blake Alexander Medley,
204 Shaver Dr,
Talbott, TN 37877-8552
Ph: (423) 581-7040 |
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