Mr Brock Blankenship, AA-C | |
1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207-9032 | |
(352) 284-4805 | |
Not Available |
Full Name | Mr Brock Blankenship |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 17 Years |
Location | 1301 Riverplace Blvd Ste 2540, Jacksonville, Florida |
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 |
---|---|---|---|
1154679744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | AA395 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Florida Anesthesia Consultants Inc | 7416869565 | 110 |
Entity Name | North Florida Anesthesia Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664 |
Mailing Address | Practice Location Address |
---|---|
Mr Brock Blankenship, AA-C 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207-9032 Ph: (352) 284-4805 | Mr Brock Blankenship, AA-C 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207-9032 Ph: (352) 284-4805 |
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