Dr Michael Anotonio Blalock, MD in Green Bay, WI

Dr Michael Anotonio Blalock, MD is a medicare enrolled "Anesthesiology" physician in Green Bay, Wisconsin. His current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-0111.

Dr Michael Anotonio Blalock is licensed to practice in Wisconsin (license number 76147-20) 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 1881156495.

Contact Information

	Dr Michael Anotonio Blalock, MD
	835 S Van Buren St, Green Bay, WI 54301-3575
	(920) 433-0111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Anotonio Blalock
Gender	Male
Speciality	Anesthesiology
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881156495
Provider Enumeration Date: 04/02/2019
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9830529536
Enrollment ID: I20230719001286

Medical Identifiers

Medical identifiers for Dr Michael Anotonio Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881156495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	76147-20 (Wisconsin)	Primary

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 Michael Anotonio Blalock allows following entities to bill medicare on his behalf.

Entity Name	Green Bay Anesthesia Assoc. Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244

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 Michael Anotonio Blalock 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
Dr Michael Anotonio Blalock, MD 1162 Brookwood Dr Apt 312, Green Bay, WI 54304-4146 Ph: (312) 217-7450	Dr Michael Anotonio Blalock, MD 835 S Van Buren St, Green Bay, WI 54301-3575 Ph: (920) 433-0111

Reviews and Comments

Anesthesiology Doctors in Green Bay, WI

Timothy R Cooper, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 877-229-0273 Fax: 920-288-4863
Dr. Brian C Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111
Stephen A Brada, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Linda M Neuser, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-5582
Dr. Joel M Johnson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-443-0111
Dr. Marshall A Longnecker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500
Dr. Hwe Jae Song, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 139 Garden Gate Ct, Green Bay, WI 54313 Phone: 920-883-9527

Dr Michael Anotonio Blalock, MD - Medicare Anesthesiology in Green Bay, WI