Kevin Blazer, PA-C is a medicare enrolled "Physician Assistant" physician in Knoxville, Tennessee. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Knoxville Dermatology Group Pc and his current practice location is
1928 Alcoa Hwy Ste 209, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 524-2547.
Kevin Blazer is licensed to practice in Tennessee (license number PA955) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861439648.
Physician's Profile
| Full Name | Kevin Blazer |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 1928 Alcoa Hwy Ste 209, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Blazer graduated from medical school in 2001
NPI Data:
- NPI Number: 1861439648
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 08/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234030461
- Enrollment ID: I20040120000272
Medical Identifiers
Medical identifiers for Kevin Blazer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861439648 | NPI | - | NPPES |
| 1513364 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | PA955 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA955 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Knoxville Dermatology Group Pc | 8123009636 | 25 |
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. Kevin Blazer 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 |
|---|
Kevin Blazer, PA-C
1928 Alcoa Hwy Ste 209,
Knoxville, TN 37920-1504
Ph: (865) 524-2547 | Kevin Blazer, PA-C
1928 Alcoa Hwy Ste 209,
Knoxville, TN 37920-1504
Ph: (865) 524-2547 |
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