Mallory C Blankenberger, PA-C in Lafayette, IN - Medicare Physician Assistant

Mallory C Blankenberger, PA-C is a medicare enrolled "Physician Assistant" in Lafayette, Indiana. Her current practice location is 5165 Mccarty Lane, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (800) 899-8448.

Mallory C Blankenberger is licensed to practice in Indiana (license number 10002240A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104348044.

Contact Information

	Mallory C Blankenberger, PA-C
	5165 Mccarty Lane, Lafayette, IN 47905-8764
	(800) 899-8448
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory C Blankenberger
Gender	Female
Speciality	Physician Assistant
Location	5165 Mccarty Lane, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104348044
Provider Enumeration Date: 07/12/2017
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4385914373
Enrollment ID: I20170725000571

Medical Identifiers

Medical identifiers for Mallory C Blankenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104348044	NPI	-	NPPES
300018177	Medicaid	IN
264430D75	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10002240A (Indiana)	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. Mallory C Blankenberger 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
Mallory C Blankenberger, PA-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Mallory C Blankenberger, PA-C 5165 Mccarty Lane, Lafayette, IN 47905-8764 Ph: (800) 899-8448

Reviews and Comments

Physician Assistant Nurses in Lafayette, IN

Amber Seaman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000
Rachael Guerin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 815-575-4585
Amy Elizabeth Spear, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8100 Fax: 765-446-7088
Olivia C Roberts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Amelia B Dale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000
Richard N. Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8858
Rachel Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1345 Unity Pl Ste 210, Lafayette, IN 47905 Phone: 765-446-5432

Mallory C Blankenberger, PA-C - Medicare Physician Assistant in Lafayette, IN