Dr Daniel Blake, PHD in Huntington Woods, MI - Medicare Psychologist Provider

Dr Daniel Blake, PHD is a medicare enrolled "Psychologist - Clinical" provider in Huntington Woods, Michigan. His current practice location is 26789 Woodward Ave, Huntington Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 398-3693.

Dr Daniel Blake is licensed to practice in Michigan (license number 6301005841) 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 1992749089.

Contact Information

	Dr Daniel Blake, PHD
	26789 Woodward Ave, Huntington Woods, MI 48070-1335
	(248) 398-3693
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daniel Blake
Gender	Male
Speciality	Psychologist - Clinical
Location	26789 Woodward Ave, Huntington Woods, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992749089
Provider Enumeration Date: 06/16/2006
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9234361841
Enrollment ID: I20140414001916

Medical Identifiers

Medical identifiers for Dr Daniel Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992749089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301005841 (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. Dr Daniel Blake allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

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. Dr Daniel 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
Dr Daniel Blake, PHD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865	Dr Daniel Blake, PHD 26789 Woodward Ave, Huntington Woods, MI 48070-1335 Ph: (248) 398-3693

Reviews and Comments

Psychologist in Huntington Woods, MI

Toby R Kellk-hamann, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26789 Woodward Ave Ste 209, Huntington Woods, MI 48070 Phone: 248-629-0079
Ms. Ann Wiersma, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26711 Woodward Ave Ste 301, Huntington Woods, MI 48070 Phone: 248-760-8873
Ira Joseph Schaer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26789 Woodward, Suite 211, Huntington Woods, MI 48070 Phone: 248-399-6030 Fax: 248-399-8211
Dr. Helene Danielle Greenwald, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10484 Nadine Ave, Huntington Woods, MI 48070 Phone: 248-752-7946
Dr. Rochelle Marsha Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10515 Lincoln Dr, Huntington Woods, MI 48070 Phone: 248-227-2568 Fax: 248-399-7356
Dr. Cara Quinn Racey Fenster, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25441 Sherwood Dr, Huntington Woods, MI 48070 Phone: 248-259-1780
Jennifer M Zoltowski, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26711 Woodward Ave, Suite Lla, Huntington Woods, MI 48070 Phone: 248-677-0074

Dr Daniel Blake, PHD - Medicare Psychologist in Huntington Woods, MI