Heather M Blake, NNP in Dearborn, MI - Medicare Nurse Practitioner

Heather M Blake, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Dearborn, Michigan. Her current practice location is 18101 Oakwood Blvd, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 593-7435.

Heather M Blake is licensed to practice in Michigan (license number 4704300929) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205617164.

Contact Information

	Heather M Blake, NNP
	18101 Oakwood Blvd, Dearborn, MI 48124-4089
	(313) 593-7435
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather M Blake
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	18101 Oakwood Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205617164
Provider Enumeration Date: 10/06/2023
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6800249483
Enrollment ID: I20240131000285

Medical Identifiers

Medical identifiers for Heather M Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205617164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	4704300929 (Michigan)	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. Heather M Blake allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Heather M 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 Address	Practice Location Address
Heather M Blake, NNP 15228 Warwick Ave, Allen Park, MI 48101-2969 Ph: (313) 515-7949	Heather M Blake, NNP 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7435

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Heather M Blake, NNP - Medicare Nurse Practitioner in Dearborn, MI