Mr Phillip Wayne Blaich, PA-C in Maxwell Afb, AL

Mr Phillip Wayne Blaich, PA-C is a medicare enrolled "Physician Assistant - Medical" in Maxwell Afb, Alabama. His current practice location is 300 Twining St Bldg 760, Maxwell Afb, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 953-8607.

Mr Phillip Wayne Blaich is licensed to practice in Florida (license number PA9103668) 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 1861458424.

Contact Information

	Mr Phillip Wayne Blaich, PA-C
	300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027
	(334) 953-8607
	(850) 747-2222

Map and Direction

Provider's Profile

Full Name	Mr Phillip Wayne Blaich
Gender	Male
Speciality	Physician Assistant - Medical
Location	300 Twining St Bldg 760, Maxwell Afb, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861458424
Provider Enumeration Date: 04/24/2006
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5597863845
Enrollment ID: I20110602000551

Medical Identifiers

Medical identifiers for Mr Phillip Wayne Blaich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861458424	NPI	-	NPPES
020471300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085003348 (Illinois)	Secondary
363AM0700X	Physician Assistant - Medical	PA9103668 (Florida)	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 Phillip Wayne Blaich 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 Phillip Wayne Blaich, PA-C 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-8607	Mr Phillip Wayne Blaich, PA-C 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-8607

Reviews and Comments

Physician Assistant Nurses in Maxwell Afb, AL

Mr. Eric Richard Korzen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607
Tamara Cardenas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368
Jamie Nicole Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-9671
Brynn Skinner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 42d Medical Group, 300 S. Twining St. Bldg. 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607
Lauren Candee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Twining St, #760, Maxwell Afb, AL 36112 Phone: 334-953-3368
Mr. Derek Ryan Roberts, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St, Maxwell Afb, AL 36112 Phone: 334-953-3368

Mr Phillip Wayne Blaich, PA-C - Medicare Physician Assistant in Maxwell Afb, AL