Dr Nicholas William Blank, MD - Medicare Family Practice in Prudenville, MI

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Dr Nicholas William Blank, MD is a medicare enrolled "Family Medicine" physician in Prudenville, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Munson Healthcare Grayling, Advantage Health/saint Mary's Medical Group, Spectrum Health United, Spectrum Health Hospitals and his current practice location is 2585 W Houghton Lake Dr, Prudenville, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 366-2900.

Dr Nicholas William Blank is licensed to practice in Michigan (license number 4301107544) 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 1275914244.

Contact Information

Dr Nicholas William Blank, MD
2585 W Houghton Lake Dr,
Prudenville, MI 48651-9624
(989) 366-2900
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicholas William Blank
GenderMale
SpecialityFamily Practice
Experience9 Years
Location2585 W Houghton Lake Dr, Prudenville, Michigan
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 Nicholas William Blank attended and graduated from Michigan State University College Of Human Medicine in 2015
  NPI Data:
  • NPI Number: 1275914244
  • Provider Enumeration Date: 06/15/2015
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789997511
  • Enrollment ID: I20170926002522

Medical Identifiers

Medical identifiers for Dr Nicholas William Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275914244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301107544 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Healthcare Grayling HospitalGrayling, MIHospital
Mercy Health Saint Mary'sGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Healthcare Grayling206273665551
Advantage Health/saint Mary's Medical Group4082807961386
Spectrum Health United630583648761
Spectrum Health Hospitals8921904764129

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 Nicholas William Blank allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameSpectrum Health Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558407189
PECOS PAC ID: 8921904764
Enrollment ID: O20040120000997
Entity NameSpectrum Health United
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457304495
PECOS PAC ID: 6305836487
Enrollment ID: O20040612000087
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279
Entity NameMunson Healthcare Grayling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710383351
PECOS PAC ID: 2062736655
Enrollment ID: O20150326000110

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 Nicholas William Blank 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 Nicholas William Blank, MD
4081 Cascade Rd Se Ste 600,
Grand Rapids, MI 49546-2170

Ph: (616) 267-0800		Dr Nicholas William Blank, MD
2585 W Houghton Lake Dr,
Prudenville, MI 48651-9624

Ph: (989) 366-2900

Reviews and Comments


Family Medicine Doctors in Prudenville, MI

Dr. Victor Luis Dominguez, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651
Phone: 989-366-2900    
Victoria Catherine Watters, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651
Phone: 989-366-2900    Fax: 989-366-1166

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.