Luke Johnathan Blankenheim, PA-C in Clinton, MD

Luke Johnathan Blankenheim, PA-C is a medicare enrolled "Physician Assistant" in Clinton, Maryland. His current practice location is 8926 Woodyard Rd, Suite 701, Clinton, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 856-1682.

Luke Johnathan Blankenheim is licensed to practice in Maryland (license number C0004416) 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 1174829774.

Contact Information

	Luke Johnathan Blankenheim, PA-C
	8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220
	(301) 856-1682
	(301) 856-8214

Map and Direction

Provider's Profile

Full Name	Luke Johnathan Blankenheim
Gender	Male
Speciality	Physician Assistant
Location	8926 Woodyard Rd, Clinton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174829774
Provider Enumeration Date: 01/31/2011
Last Update Date: 02/13/2012

Medicare PECOS Information:

PECOS PAC ID: 7113104308
Enrollment ID: I20110616000284

Medical Identifiers

Medical identifiers for Luke Johnathan Blankenheim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174829774	NPI	-	NPPES
CI2264	Other		RAILROAD MEDICARE GROUP PTAN
C0004416	Other		MARYLAND LICENSE
P00992732	Other		RAILROAD MEDICARE INDIVIDUAL PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0004416 (Maryland)	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. Luke Johnathan Blankenheim 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
Luke Johnathan Blankenheim, PA-C 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 Ph: (301) 856-1682	Luke Johnathan Blankenheim, PA-C 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 Ph: (301) 856-1682

Reviews and Comments

Physician Assistant Nurses in Clinton, MD

Elizabeth Myers Fisher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medstar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735 Phone: 301-877-4505
Ms. Eline Leonore Mul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 Woodyard Rd Ste 602, Clinton, MD 20735 Phone: 301-868-9414 Fax: 301-868-6055
Elizabeth Garcia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10401 Hospital Dr Ste 101, Clinton, MD 20735 Phone: 301-856-2323
Norman Russell Stackhouse, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9131 Piscataway Rd, Suite 600, Clinton, MD 20735 Phone: 301-868-0110 Fax: 301-856-0604
Leslie Covington Fincher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Emergency Dept, Medstar Southern Maryland Hospital, Clinton, MD 20735 Phone: 301-877-4500
Kathleen Cheseldine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 855-633-0205
Matthew L Hurley, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697

Luke Johnathan Blankenheim, PA-C - Medicare Physician Assistant in Clinton, MD