| Clinton Jed Blaine, PA | |
|
3500 Purdy Rd, Huntingdon, TN 38344-8050 | |
| (731) 986-2536 | |
| Not Available |
| Full Name | Clinton Jed Blaine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 3500 Purdy Rd, Huntingdon, Tennessee |
| 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 |
|---|---|---|---|
| 1558340844 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pai Participant 1 Llc | 8123351954 | 174 |
| Universal Health Corporation | 5597912626 | 120 |
| Entity Name | Universal Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
| Entity Name | Pai Participant 1 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Jed Blaine, PA 3500 Purdy Rd, Huntingdon, TN 38344-8050 Ph: (541) 731-4672 | Clinton Jed Blaine, PA 3500 Purdy Rd, Huntingdon, TN 38344-8050 Ph: (731) 986-2536 |
Mr. Paul Everett Brinkman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3493 Veterans Dr N Ste C, Huntingdon, TN 38344 Phone: 731-986-2933 Fax: 731-986-2938 |
Meagen Sturdivant Maddox, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3493 Veterans Dr N, Suite C, Huntingdon, TN 38344 Phone: 731-986-2933 Fax: 731-986-2938 |
Tyler S Warbritton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3493 Veterans Dr N Ste C, Huntingdon, TN 38344 Phone: 731-986-2933 Fax: 731-986-2939 |
Gary Christopher Blount, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Rb Wilson Dr Ste G, Huntingdon, TN 38344 Phone: 731-986-7400 |
Ashleigh Nichole Bullock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 238 Hillcrest Dr, Huntingdon, TN 38344 Phone: 731-415-6313 |
Sarah Elizabeth Wiser, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 22 2nd Ave, Huntingdon, TN 38344 Phone: 731-422-0213 Fax: 731-868-4766 |
Holly Leigh-ann Heath, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Rb Wilson Dr, Huntingdon, TN 38344 Phone: 731-986-2213 Fax: 731-986-0011 |