Jordan Blythe, PA-C is a medicare enrolled "Physician Assistant" in West Fork, Arkansas. His current practice location is
451 Phillips St, West Fork, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 294-6085.
Jordan Blythe is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548972409.
Provider's Profile
Full Name | Jordan Blythe |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 451 Phillips St, West Fork, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548972409
- Provider Enumeration Date: 12/21/2022
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981075769
- Enrollment ID: I20230116000388
Medical Identifiers
Medical identifiers for Jordan Blythe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548972409 | 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. Jordan Blythe 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 |
Jordan Blythe, PA-C 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Jordan Blythe, PA-C 451 Phillips St, West Fork, AR 72774-2813 Ph: (479) 294-6085 |
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