Luke Johnathan Blankenheim, PA-C - Medicare Physician Assistant in Clinton, MD

Luke Johnathan Blankenheim, PA-C is a medicare enrolled "Physician Assistant" in Clinton, Maryland. His current practice location is 8926 Woodyard Rd, Suite 701, Clinton, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 856-1682.

Luke Johnathan Blankenheim is licensed to practice in Maryland (license number C0004416) 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 1174829774.

Contact Information

Luke Johnathan Blankenheim, PA-C
8926 Woodyard Rd, Suite 701,
Clinton, MD 20735-4220
(301) 856-1682
(301) 856-8214



Provider's Profile

Full NameLuke Johnathan Blankenheim
GenderMale
SpecialityPhysician Assistant
Location8926 Woodyard Rd, Clinton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174829774
  • Provider Enumeration Date: 01/31/2011
  • Last Update Date: 02/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7113104308
  • Enrollment ID: I20110616000284

Medical Identifiers

Medical identifiers for Luke Johnathan Blankenheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174829774NPI-NPPES
CI2264OtherRAILROAD MEDICARE GROUP PTAN
C0004416OtherMARYLAND LICENSE
P00992732OtherRAILROAD MEDICARE INDIVIDUAL PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0004416 (Maryland)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. Luke Johnathan Blankenheim 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 AddressPractice Location Address
Luke Johnathan Blankenheim, PA-C
8926 Woodyard Rd, Suite 701,
Clinton, MD 20735-4220

Ph: (301) 856-1682
Luke Johnathan Blankenheim, PA-C
8926 Woodyard Rd, Suite 701,
Clinton, MD 20735-4220

Ph: (301) 856-1682

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Physician Assistant Nurses in Clinton, MD

Elizabeth Myers Fisher, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Medstar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735
Phone: 301-877-4505    
Ms. Eline Leonore Mul, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7801 Old Branch Ave, Suite 202, Clinton, MD 20735
Phone: 301-868-9414    Fax: 301-868-6055
Elizabeth Garcia, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10401 Hospital Dr Ste 101, Clinton, MD 20735
Phone: 301-856-2323    
Norman Russell Stackhouse, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9131 Piscataway Rd, Suite 600, Clinton, MD 20735
Phone: 301-868-0110    Fax: 301-856-0604
Leslie Covington Fincher, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7503 Surratts Rd, Emergency Dept, Medstar Southern Maryland Hospital, Clinton, MD 20735
Phone: 301-877-4500    
Kathleen Cheseldine, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7503 Surratts Rd, Clinton, MD 20735
Phone: 855-633-0205    
Matthew L Hurley, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7503 Surratts Rd, Clinton, MD 20735
Phone: 301-870-7001    Fax: 301-870-6697

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