Wayne Blevins Jr, is a medicare enrolled "Emergency Medicine" physician in Carlinville, Illinois. His current practice location is
11574 Rt 108, Carlinville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 854-4319.
Wayne Blevins Jr is licensed to practice in Florida (license number PA2642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902803869.
Physician's Profile
Full Name | Wayne Blevins Jr |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 11574 Rt 108, Carlinville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902803869
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 3678522059
- Enrollment ID: I20140418000364
Medical Identifiers
Medical identifiers for Wayne Blevins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902803869 | NPI | - | NPPES |
U4077Z | Medicaid | FL | |
606478700 | Other | FL | DEPT OF LABOR |
96317 | Other | FL | HEALTH PARTNERS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA2642 (Florida) | Primary |
363A00000X | Physician Assistant | 085004267 (Illinois) | Secondary |
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. Wayne Blevins Jr 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 |
Wayne Blevins Jr, 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-4491 | Wayne Blevins Jr, 11574 Rt 108, Carlinville, IL 62626-4091 Ph: (217) 854-4319 |
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