Mr Henry Keiler Bluhm Jr, PA-C is a medicare enrolled "Physician Assistant - Medical" in Eldon, Missouri. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lake Regional Health System and his current practice location is
304a E 4th St, Eldon, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 557-2400.
Mr Henry Keiler Bluhm Jr is licensed to practice in Missouri (license number 2011035886) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104096429.
Provider's Profile
| Full Name | Mr Henry Keiler Bluhm Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 304a E 4th St, Eldon, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Henry Keiler Bluhm Jr graduated from nursing school in 2007
NPI Data:
- NPI Number: 1104096429
- Provider Enumeration Date: 03/03/2008
- Last Update Date: 08/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507042777
- Enrollment ID: I20181004002327
Medical Identifiers
Medical identifiers for Mr Henry Keiler Bluhm Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104096429 | NPI | - | NPPES |
| 2011035886 | Other | MO | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA-461 (Arkansas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110002717 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2011035886 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lake Regional Health System | 9133026776 | 80 |
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 Henry Keiler Bluhm Jr 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 Henry Keiler Bluhm Jr, PA-C
1005 Se Walton Blvd,
Bentonville, AR 72712-6775
Ph: (479) 254-6734 | Mr Henry Keiler Bluhm Jr, PA-C
304a E 4th St,
Eldon, MO 65026
Ph: (573) 557-2400 |
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