| Mr Phillip Wayne Blaich, PA-C | |
|
300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | |
| (334) 953-8607 | |
| (850) 747-2222 |
| Full Name | Mr Phillip Wayne Blaich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 300 Twining St Bldg 760, Maxwell Afb, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861458424 | NPI | - | NPPES |
| 020471300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085003348 (Illinois) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9103668 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Phillip Wayne Blaich, PA-C 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-8607 | Mr Phillip Wayne Blaich, PA-C 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-8607 |
Mr. Eric Richard Korzen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Tamara Cardenas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 | |
Jamie Nicole Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-9671 | |
Brynn Skinner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 42d Medical Group, 300 S. Twining St. Bldg. 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Lauren Candee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Twining St, #760, Maxwell Afb, AL 36112 Phone: 334-953-3368 |