Dr Benjamin Blaylock, CRNA | |
1901 Meadow Lark Dr, Polk City, IA 50226-1283 | |
(515) 494-9935 | |
Not Available |
Full Name | Dr Benjamin Blaylock |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 1901 Meadow Lark Dr, Polk City, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154708170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D124963 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
M And M Anesthesia, Llc | 2961823596 | 11 |
Mercy Medical Center-newton | 7911803176 | 23 |
Entity Name | Anesthesia Iowa Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114018983 PECOS PAC ID: 3476443524 Enrollment ID: O20040319001199 |
Entity Name | Metro Anesthesia & Pain Mngmt Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609925627 PECOS PAC ID: 1456343763 Enrollment ID: O20040330000579 |
Entity Name | Franklin General Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477637759 PECOS PAC ID: 5799693925 Enrollment ID: O20061104000105 |
Entity Name | Dallas County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1669477089 PECOS PAC ID: 9931094257 Enrollment ID: O20080124000605 |
Entity Name | Mercy Medical Center-newton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134509292 PECOS PAC ID: 7911803176 Enrollment ID: O20150713000204 |
Entity Name | M & M Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326668328 PECOS PAC ID: 2961823596 Enrollment ID: O20200605001423 |
Entity Name | Ikc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659904803 PECOS PAC ID: 5294140851 Enrollment ID: O20210212002431 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Blaylock, CRNA 1901 Meadow Lark Dr, Polk City, IA 50226 Ph: (515) 494-9935 | Dr Benjamin Blaylock, CRNA 1901 Meadow Lark Dr, Polk City, IA 50226-1283 Ph: (515) 494-9935 |