Mr John Vayden Blake, PA in Summersville, WV - Medicare Physician Assistant

Mr John Vayden Blake, PA is a medicare enrolled "Physician Assistant" in Summersville, West Virginia. His current practice location is 315 Fairview Heights Rd, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 469-2905.

Mr John Vayden Blake is licensed to practice in West Virginia (license number 929) 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 1013994953.

Contact Information

	Mr John Vayden Blake, PA
	315 Fairview Heights Rd, Summersville, WV 26651-1086
	(304) 469-2905
	(304) 465-5486

Map and Direction

Provider's Profile

Full Name	Mr John Vayden Blake
Gender	Male
Speciality	Physician Assistant
Location	315 Fairview Heights Rd, Summersville, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013994953
Provider Enumeration Date: 12/30/2005
Last Update Date: 01/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3678472396
Enrollment ID: I20031231000777

Medical Identifiers

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

Identifier	Type	State	Issuer
1013994953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	202 (West Virginia)	Secondary
363A00000X	Physician Assistant	929 (West Virginia)	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 John Vayden Blake 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 John Vayden Blake, PA 497 Mall Rd, Oak Hill, WV 25901-6216 Ph: (304) 469-2905	Mr John Vayden Blake, PA 315 Fairview Heights Rd, Summersville, WV 26651-1086 Ph: (304) 469-2905

Reviews and Comments

Physician Assistant Nurses in Summersville, WV

Joy P Ford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5870 Webster Rd, Summersville, WV 26651 Phone: 304-872-3709
Deanne R Grim, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4089 Webster Road, Summersville, WV 26651 Phone: 304-872-0111
Judy Marie Spencer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-8545 Fax: 304-872-0675
Mrs. Brooke Janine Key, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Fairview Heights Rd Ste 204, Summersville, WV 26651 Phone: 304-872-8444
Christy Tyree Phipps, P.A. - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Heights Rd, Suite 302, Summersville, WV 26651 Phone: 304-872-7063
Diana Huffman, M.D. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Heights Rd, Sutie 302, Summersville, WV 26651 Phone: 304-872-7063 Fax: 304-872-7080

Mr John Vayden Blake, PA - Medicare Physician Assistant in Summersville, WV