Lauren Blyly, PA-C is a medicare enrolled "Physician Assistant - Medical" in Harper Woods, Michigan. Her current practice location is
20480 Vernier Rd, Harper Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 938-0141.
Lauren Blyly is licensed to practice in Michigan (license number 5601012423) 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 1346634011.
Provider's Profile
Full Name | Lauren Blyly |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 20480 Vernier Rd, Harper Woods, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346634011
- Provider Enumeration Date: 03/20/2015
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901288190
- Enrollment ID: I20220804001899
Medical Identifiers
Medical identifiers for Lauren Blyly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346634011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 5601012423 (Michigan) | Primary |
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. Lauren Blyly 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 |
Lauren Blyly, PA-C 20480 Vernier Rd, Harper Woods, MI 48225-1411 Ph: (248) 938-0141 | Lauren Blyly, PA-C 20480 Vernier Rd, Harper Woods, MI 48225-1411 Ph: (248) 938-0141 |
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