Brianna Taylor Blakely, PA is a medicare enrolled "Physician Assistant" in Rocky Top, Tennessee. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is
510 N Main St, Rocky Top, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 205-9582.
Brianna Taylor Blakely is licensed to practice in Tennessee (license number 4382) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093308793.
Provider's Profile
| Full Name | Brianna Taylor Blakely |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 510 N Main St, Rocky Top, Tennessee |
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| Accepts Medicare Assignments | Yes. She 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:
- Brianna Taylor Blakely graduated from nursing school in 2020
NPI Data:
- NPI Number: 1093308793
- Provider Enumeration Date: 02/15/2021
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355756560
- Enrollment ID: I20210222002167
Medical Identifiers
Medical identifiers for Brianna Taylor Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093308793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4382 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
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. Brianna Taylor Blakely 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 |
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Brianna Taylor Blakely, PA
510 N Main St,
Rocky Top, TN 37769-2818
Ph: (865) 205-9582 | Brianna Taylor Blakely, PA
510 N Main St,
Rocky Top, TN 37769-2818
Ph: (865) 205-9582 |
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