Blake Heinonen, is a medicare enrolled "Physician Assistant" in Conneaut, Ohio. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
903 Lincoln Dr, Conneaut, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 813-7665.
Blake Heinonen is licensed to practice in Ohio (license number 50.004922RX) 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 1235672437.
Provider's Profile
| Full Name | Blake Heinonen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 903 Lincoln Dr, Conneaut, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Blake Heinonen graduated from nursing school in 2016
NPI Data:
- NPI Number: 1235672437
- Provider Enumeration Date: 11/21/2016
- Last Update Date: 11/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103108147
- Enrollment ID: I20170126001726
Medical Identifiers
Medical identifiers for Blake Heinonen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235672437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 50.004922RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
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. Blake Heinonen 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 |
|---|
Blake Heinonen,
903 Lincoln Dr,
Conneaut, OH 44030-2137
Ph: (440) 813-7665 | Blake Heinonen,
903 Lincoln Dr,
Conneaut, OH 44030-2137
Ph: (440) 813-7665 |
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