Jennifer Marie Blake

MD | Pediatric Cardiology | Female

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Complete Profile:

Jennifer Marie Blake basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Jennifer Marie Blake
Credential :	MD
Gender :	Female

Business Address:

Jennifer Marie Blake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3901 Beaubien St, Childrens Hospital Of Mi 4th Fl Detroit, MI, 48201-2119 United States
Phone Number :	313-745-5484
Fax Number :	313-966-2423

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891952370
NPI Entity Type :	Individual
First Enrolment Date :	21 May, 2008
Last Updated On :	18 Jan, 2017

Medicare Participation:

Jennifer Marie Blake participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7214061878
Medicare Enrollment ID :	I20100818000230
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Texas Tech University Health Science Center School Of Medicine
Graduation Year :	2002
Accepts Medicare?	Yes. Jennifer Marie Blake accepts medicare insurance.

Group Practice Association:

Jennifer Marie Blake is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jennifer Marie Blake is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatricians	9638070568	85	3901 Beaubien St Detroit, MI - 482012119 Ph: 3137455870	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Marie Blake are as mentioned. Primary taxonomy code for Jennifer Marie Blake, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	4301090782	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4201 Saint Antoine St, Uhc 5d - Mailbox 226 University Pediatricians Detroit, MI, 48201-2153 United States
Phone Number :	313-745-4405
Fax Number :	313-966-0665

Business Location:

Patients can refer following map for directions to Jennifer Marie Blake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.