| Dr Benjamin Blaylock, CRNA | |
|
1901 Meadow Lark Dr, Polk City, IA 50226-1283 | |
| (515) 494-9935 | |
| Not Available |
| Full Name | Dr Benjamin Blaylock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1901 Meadow Lark Dr, Polk City, Iowa |
| 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 |
|---|---|---|---|
| 1154708170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D124963 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
| Mercyone Newton Medical Center | Newton, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M And M Anesthesia, Llc | 2961823596 | 17 |
| The Iowa Clinic Pc | 4082513742 | 288 |
| Mercy Medical Center-newton | 7911803176 | 13 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497957351 PECOS PAC ID: 1254241565 Enrollment ID: O20031216000775 |
| Entity Name | The Iowa Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346233178 PECOS PAC ID: 4082513742 Enrollment ID: O20040102000222 |
| Entity Name | Anesthesia Iowa Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114018983 PECOS PAC ID: 3476443524 Enrollment ID: O20040319001199 |
| Entity Name | Metro Anesthesia & Pain Mngmt Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609925627 PECOS PAC ID: 1456343763 Enrollment ID: O20040330000579 |
| Entity Name | Manning Regional Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306969175 PECOS PAC ID: 7618960840 Enrollment ID: O20040405001163 |
| Entity Name | Franklin General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477637759 PECOS PAC ID: 5799693925 Enrollment ID: O20061104000105 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295702397 PECOS PAC ID: 1254241565 Enrollment ID: O20061104000151 |
| Entity Name | Dallas County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1669477089 PECOS PAC ID: 9931094257 Enrollment ID: O20080124000605 |
| Entity Name | Mercy Medical Center-newton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134509292 PECOS PAC ID: 7911803176 Enrollment ID: O20150713000204 |
| Entity Name | M & M Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326668328 PECOS PAC ID: 2961823596 Enrollment ID: O20200605001423 |
| Entity Name | Ikc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659904803 PECOS PAC ID: 5294140851 Enrollment ID: O20210212002431 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Blaylock, CRNA 1901 Meadow Lark Dr, Polk City, IA 50226 Ph: (515) 494-9935 | Dr Benjamin Blaylock, CRNA 1901 Meadow Lark Dr, Polk City, IA 50226-1283 Ph: (515) 494-9935 |