Blake T Greenfield, PA-C
Blake T Greenfield, PA-C is a Physician Assistant in Ellsworth AFB, South Dakota. Qualified in 2003, 23 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment. Licensed in South Dakota.
- Years since qualifying
- 23
- Licensed in
- SD
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2900 Doolittle DrEllsworth AFB, SD 57706
Phone: (605) 385-3111
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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 0553 (SD) |
|---|
Record details
| NPI number | 1578501326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 3, 2006 |
| Last updated in NPPES | January 17, 2025 |
| Certification date | January 17, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Black Hills Surgical Hospital Llc — 169 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ellsworth AFB
-
Shelton John Fraser, PA-C
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 385-3168
-
Jordan Hickman, PA-C
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 675-1000
-
Audrey McReavy, PA-C
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 385-3354
-
Joshua R Paull, PA-C
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 385-6700