Michael D Blick, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Mountain Lake, New Jersey. His current practice location is
415 Boulevard, Mountain Lake, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 334-7700.
Michael D Blick is licensed to practice in New Jersey (license number MA56197) 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 1740250380.
Physician's Profile
| Full Name | Michael D Blick |
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| Gender | Male |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 415 Boulevard, Mountain Lake, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740250380
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709813371
- Enrollment ID: I20050920000813
Medical Identifiers
Medical identifiers for Michael D Blick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740250380 | NPI | - | NPPES |
| 6565603 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | MA56197 (New Jersey) | 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. Michael D Blick allows following entities to bill medicare on his behalf.
| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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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. Michael D Blick 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 |
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Michael D Blick, MD
Po Box 416457,
Boston, MA 02241-6457
Ph: (844) 362-1735 | Michael D Blick, MD
415 Boulevard,
Mountain Lake, NJ 07046
Ph: (973) 334-7700 |
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