Benjamin Blake, PA-C
Benjamin Blake, PA-C is a Physician Assistant in Neodesha, Kansas. Qualified in 2018, 8 years ago. Practices with Sumner County Hospital District No 1, a 20-clinician group and accepts Medicare assignment.
- Years since qualifying
- 8
- In the registry since
- 2018
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2600 Ottawa RdNeodesha, KS 66757-1897
Phone: (620) 325-2611
Fax: (620) 325-8453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 15-02102 |
|---|
Record details
| NPI number | 1053806539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 26, 2018 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | Po Box 360, Neodesha, KS 66757-0360 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Sumner County Hospital District No 1 — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Neodesha
-
Mrs. Ashley Gail Bemo, PA-C
2600 Ottawa Rd, Neodesha, KS 66757-1897 · (620) 325-2622