Blayne O Yerby, PA is a
Physician Assistant based in Macclenny, Florida. Blayne O Yerby is licensed to practice in Florida (license number PA9110127) and her current practice location is
1419 S 6th St, Macclenny, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 653-1822.
NPI number for Blayne O Yerby is 1497295505 and her current mailing address is 789 W Duval St, Lake City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497295505.
Provider's Profile
Full Name | Blayne O Yerby |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1419 S 6th St, Macclenny, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497295505
- Provider Enumeration Date: 03/08/2017
- Last Update Date: 02/12/2021
Medical Identifiers
Medical identifiers for Blayne O Yerby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497295505 | NPI | - | NPPES |
020253400 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 9110127 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9110127 (Florida) | 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. Blayne O Yerby 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 |
Blayne O Yerby, PA 789 W Duval St, Lake City, FL 32055-3811 Ph: (386) 755-5044 | Blayne O Yerby, PA 1419 S 6th St, Macclenny, FL 32063-4624 Ph: (904) 653-1822 |
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