| Blair Jenkins, MD | |
|
300 W Michigan Ave, Ypsilanti, MI 48197-5443 | |
| (734) 936-4054 | |
| (734) 647-2540 |
| Full Name | Blair Jenkins |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 300 W Michigan Ave, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124655451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301511550 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Regents Of The University Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528097128 PECOS PAC ID: 3779496856 Enrollment ID: O20031117000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Jenkins, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Blair Jenkins, MD 300 W Michigan Ave, Ypsilanti, MI 48197-5443 Ph: (734) 936-4054 |
Montgomery O Gillard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197 Phone: 734-572-7500 Fax: 734-572-7777 | |
Dr. Hyuk C Cha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4972 W Clark Rd Ste 201, Ypsilanti, MI 48197 Phone: 734-385-7211 | |
Elizabeth Anne Henderson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Phone: 734-712-3980 | |
Michael Dewall, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3161 Fax: 734-712-2244 | |
Dr. Emily Rose Davis, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197 Phone: 734-712-5015 Fax: 734-712-8777 |