Dr Donnevan Blake, MD - Medicare Cardiovascular Disease (cardiology) in Green Bay, WI

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Dr Donnevan Blake, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Green Bay, Wisconsin. He went to University Of Cincinnati College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Froedtert Manitowoc Medical Group, Llc, Osf Multi-specialty Group, Bellin Memorial Hospital Inc, Bellin Memorial Hospital Inc and his current practice location is 744 S Webster Ave Fl 2, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-3640.

Dr Donnevan Blake is licensed to practice in Wisconsin (license number 52766-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801854898.

Contact Information

Dr Donnevan Blake, MD
744 S Webster Ave Fl 2,
Green Bay, WI 54301-3505
(920) 433-3640
(920) 433-3716

Map and Direction




Physician's Profile

Full NameDr Donnevan Blake
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience21 Years
Location744 S Webster Ave Fl 2, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donnevan Blake attended and graduated from University Of Cincinnati College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1801854898
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 07/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4385727486
  • Enrollment ID: I20090923000493

Medical Identifiers

Medical identifiers for Dr Donnevan Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801854898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 52766-20 (Wisconsin)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 4301095491 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bellin Memorial HospitalGreen bay, WIHospital
Door County Medical CenterSturgeon bay, WIHospital
Osf St Francis Hospital And Medical GroupEscanaba, MIHospital
Holy Family MemorialManitowoc, WIHospital
Bellin Health Oconto HospitalOconto, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Manitowoc Medical Group, Llc2365836954118
Osf Multi-specialty Group36788897891552
Bellin Memorial Hospital Inc8820900749533
Bellin Memorial Hospital Inc8820900749533

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donnevan Blake allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Entity NameOconto Hospital & Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20050713000836
Entity NameFroedtert Manitowoc Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20230522000597

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. Dr Donnevan 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 AddressPractice Location Address
Dr Donnevan Blake, MD
744 S Webster Ave Fl 2,
Green Bay, WI 54301-3505

Ph: (920) 433-3640		Dr Donnevan Blake, MD
744 S Webster Ave Fl 2,
Green Bay, WI 54301-3505

Ph: (920) 433-3640

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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