Derek Blankenship, PA-C - Medicare Physician Assistant in Jackson, TN

Derek Blankenship, PA-C is a medicare enrolled "Physician Assistant" in Jackson, Tennessee. His current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-6180.

Derek Blankenship is licensed to practice in Tennessee (license number 2793) 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 1194106690.

Contact Information

Derek Blankenship, PA-C
620 Skyline Dr,
Jackson, TN 38301-3923
(731) 541-6180
Not Available

Map and Direction




Provider's Profile

Full NameDerek Blankenship
GenderMale
SpecialityPhysician Assistant
Location620 Skyline Dr, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194106690
  • Provider Enumeration Date: 06/10/2015
  • Last Update Date: 10/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517270416
  • Enrollment ID: I20150721003195

Medical Identifiers

Medical identifiers for Derek Blankenship such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194106690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2793 (Tennessee)Primary

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. Derek Blankenship 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 AddressPractice Location Address
Derek Blankenship, PA-C
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: () -
Derek Blankenship, PA-C
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: (731) 541-6180

Reviews and Comments


Physician Assistant Nurses in Jackson, TN

Adam Boyd Vaughn,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Morgan Janae Mason,
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Medicare: Not Enrolled in Medicare
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Mrs. Stephanie R Little, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highwy 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-422-0410
Erick Stafford, PA-C
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Medicare: Medicare Enrolled
Practice Location: 30 Sandstone Cir, Jackson, TN 38305
Phone: 731-240-1695    Fax: 731-240-1694
Lauren Schultz, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 150 Murray Guard Dr, Jackson, TN 38305
Phone: 731-201-2798    
Dalton Glenn Weaver,
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Medicare: Medicare Enrolled
Practice Location: 708 N Highland Ave, Jackson, TN 38301
Phone: 731-394-0071    
Akacyea Nycole Deck, PA-C
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Medicare: Medicare Enrolled
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-422-0297

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.