Ms Tracy M Blakeman, MS, RD is a
Dietitian, Registered based in Middleville, Michigan. Ms Tracy M Blakeman is licensed to practice in Michigan (license number 721639) and her current practice location is
2727 Valley Ridge Dr, Middleville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 633-3549.
NPI number for Ms Tracy M Blakeman is 1508179920 and her current mailing address is 2727 Valley Ridge Dr, Middleville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508179920.
Healthcare Provider's Profile
Full Name | Ms Tracy M Blakeman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2727 Valley Ridge Dr, Middleville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508179920
- Provider Enumeration Date: 07/15/2010
- Last Update Date: 07/15/2010
Medical Identifiers
Medical identifiers for Ms Tracy M Blakeman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508179920 | NPI | - | NPPES |
133V00000X | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 721639 (Michigan) | 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. Ms Tracy M Blakeman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Tracy M Blakeman, MS, RD 2727 Valley Ridge Dr, Middleville, MI 49333-9157 Ph: (616) 633-3549 | Ms Tracy M Blakeman, MS, RD 2727 Valley Ridge Dr, Middleville, MI 49333-9157 Ph: (616) 633-3549 |
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