Blake Thomas Beasley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA062819 Issued in PA

Practice address

531 Maple Ave
West Chester, PA 19380-4416

Phone

(610) 692-4382

Fax

(610) 430-6820

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  PA

  Medicare reassignment Care Compare group
• Geps Physician Group of Pennsylvania PC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1467471615
  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment
• West Chester Cardiology,PC

  • Cardiovascular Disease Physician
  • West Chester, PA
  • NPI 1932118585
  NPD
• Brandywine Internal Medicine, LLC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1326057936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1225793359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 WISSAHICKON AVE APT 215H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444535",
            "telephone_number": "512-820-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAPLE AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804416",
            "telephone_number": "610-692-4382",
            "fax_number": "610-430-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "BLAKE",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Robert Thomas Bayley III, D.M.D.
• Robert Thomas Bayley IV, DMD
• Sinehan Burcu Bayrak, M.D.
• Jeanne Beachler
• Mark Edward Beaugard, M.D.
• Kimberly G Beazley, RD, CDE
• Sarah Beck, CLD
• Joseph D. Becker, DO
• Patricia Reiter Becker, CRNP

• Physician Assistant in West Chester, PA
• Providers in West Chester, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.