| Tanner Jameson Blake, | |
|
3501 Cedar Bay Ct Apt 738, Henrico, VA 23233-0203 | |
| (435) 218-1198 | |
| Not Available |
| Full Name | Tanner Jameson Blake |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 3501 Cedar Bay Ct Apt 738, Henrico, Virginia |
| 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 |
|---|---|---|---|
| 1811578214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Potomac Valley Hospital Of W Va, Inc | Keyser, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Potomac Valley Hospital Of W Va , Inc | 8123917788 | 90 |
| Entity Name | Potomac Valley Hospital of W VA , Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
| Entity Name | Potomac Valley Hospital of W VA , Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912979873 PECOS PAC ID: 8123917788 Enrollment ID: O20061104000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Jameson Blake, 3501 Cedar Bay Ct Apt 738, Henrico, VA 23233-0203 Ph: (435) 218-1198 | Tanner Jameson Blake, 3501 Cedar Bay Ct Apt 738, Henrico, VA 23233-0203 Ph: (435) 218-1198 |
Sydney Kristine Ables, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 |
Lucy Karn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9606 Patterson Ave, Henrico, VA 23229 Phone: 804-740-6171 Fax: 804-741-3105 |
Jahnavi Ramakrishnan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12216 W Broad St Ste 4b-5, Henrico, VA 23233 Phone: 804-440-4878 |
Mr. Sean Tansey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St # Va23233, Henrico, VA 23233 Phone: 804-360-4669 |
Chloe Danielle Canterbury, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 12320 W Broad St, Henrico, VA 23233 Phone: 804-923-1400 |
Natalie Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1504 Santa Rosa Rd, Henrico, VA 23229 Phone: 804-210-3103 |
Gabrielle Flynn, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 |