Dr Jay H Blackburn, DDS is a
Dentist - General Practice based in New Buffalo, Michigan. Dr Jay H Blackburn is licensed to practice in Michigan (license number 13579) and his current practice location is
105 W. Merchant Street, New Buffalo, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 469-3140.
NPI number for Dr Jay H Blackburn is 1730103045 and his current mailing address is 105 W. Merchant Street, New Buffalo, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730103045.
Healthcare Provider's Profile
Full Name | Dr Jay H Blackburn |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 105 W. Merchant Street, New Buffalo, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730103045
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jay H Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730103045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13579 (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. Dr Jay H Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jay H Blackburn, DDS 105 W. Merchant Street, New Buffalo, MI 49117-1813 Ph: (269) 469-3140 | Dr Jay H Blackburn, DDS 105 W. Merchant Street, New Buffalo, MI 49117-1813 Ph: (269) 469-3140 |
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