Mrs Kathleen Teaman Blazoff, APRN, BC in Detroit, MI

Mrs Kathleen Teaman Blazoff, APRN, BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Detroit, Michigan. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ascension Macomb Oakland Hospital and her current practice location is 7733 E Jefferson Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 499-4923.

Mrs Kathleen Teaman Blazoff is licensed to practice in Michigan (license number 4704162765) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558452805.

Contact Information

	Mrs Kathleen Teaman Blazoff, APRN, BC
	7733 E Jefferson Ave, Detroit, MI 48214-3707
	(313) 499-4923
	(313) 499-4089

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Teaman Blazoff
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	7733 E Jefferson Ave, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathleen Teaman Blazoff graduated from nursing school in 1994

NPI Data:

NPI Number: 1558452805
Provider Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092807941
Enrollment ID: I20070822001478

Medical Identifiers

Medical identifiers for Mrs Kathleen Teaman Blazoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558452805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704162765 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Macomb Oakland Hospital	7315859725	118

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. Mrs Kathleen Teaman Blazoff allows following entities to bill medicare on her behalf.

Entity Name	Ascension Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578696092 PECOS PAC ID: 7315859725 Enrollment ID: O20041102000607

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. Mrs Kathleen Teaman Blazoff 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
Mrs Kathleen Teaman Blazoff, APRN, BC 218 Mckinley Ave, Grosse Pointe Farms, MI 48236-3507 Ph: (313) 499-4923	Mrs Kathleen Teaman Blazoff, APRN, BC 7733 E Jefferson Ave, Detroit, MI 48214-3707 Ph: (313) 499-4923

Reviews and Comments

Nurse Practitioner Nurses in Detroit, MI

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Mrs Kathleen Teaman Blazoff, APRN, BC - Medicare Nurse Practitioner in Detroit, MI