Mr Blake Huddleston, PA-C in Cookeville, TN - Medicare Physician Assistant

Mr Blake Huddleston, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cookeville, Tennessee. His current practice location is 340 N Cedar Ave, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 783-5353.

Mr Blake Huddleston is licensed to practice in Tennessee (license number 3389) 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 1700302171.

Contact Information

	Mr Blake Huddleston, PA-C
	340 N Cedar Ave, Cookeville, TN 38501-2421
	(931) 783-5353
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Blake Huddleston
Gender	Male
Speciality	Physician Assistant - Medical
Location	340 N Cedar Ave, Cookeville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700302171
Provider Enumeration Date: 08/17/2017
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6800154204
Enrollment ID: I20171212002064

Medical Identifiers

Medical identifiers for Mr Blake Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700302171	NPI	-	NPPES
Q031971	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	3389 (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. Mr Blake Huddleston 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
Mr Blake Huddleston, PA-C 140 W 7th St, Cookeville, TN 38501-1726 Ph: (931) 783-5582	Mr Blake Huddleston, PA-C 340 N Cedar Ave, Cookeville, TN 38501-2421 Ph: (931) 783-5353

Reviews and Comments

Physician Assistant Nurses in Cookeville, TN

Cheryl A Cunningham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 228 W 4th St Ste 200, Cookeville, TN 38501 Phone: 931-372-0405
Pamela Shelton Dobbs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-2143
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Caitlin Locke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 340 N Cedar Ave, Cookeville, TN 38501 Phone: 931-783-5353 Fax: 931-783-4994
James M Vance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 S Lowe Ave, Suite A, Cookeville, TN 38501 Phone: 931-526-1050 Fax: 931-526-8163
Molly Kate Campbell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 406 N Whitney Ave Ste 5, Cookeville, TN 38501 Phone: 931-783-4269
Lexie Nicolette Gabbard, Physician Assistant Medicare: Medicare Enrolled Practice Location: 165 Maple Valley Ln, Cookeville, TN 38506 Phone: 931-265-9815

Mr Blake Huddleston, PA-C - Medicare Physician Assistant in Cookeville, TN