Edward A Blanzy, DO is a medicare enrolled "Urology" physician in Brownstown Twp, Michigan. His current practice location is
19117 Allen Rd Ste A, Brownstown Twp, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 676-4040.
Edward A Blanzy is licensed to practice in Michigan (license number 5101010788) 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 1740332600.
Physician's Profile
Full Name | Edward A Blanzy |
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Gender | Male |
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Speciality | Urology |
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Location | 19117 Allen Rd Ste A, Brownstown Twp, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740332600
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 03/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476948308
- Enrollment ID: I20220311000813
Medical Identifiers
Medical identifiers for Edward A Blanzy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740332600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 5101010788 (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. Edward A Blanzy allows following entities to bill medicare on his behalf.
Entity Name | Michigan Institute Of Urology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
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Entity Name | Scheurer Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104016849 PECOS PAC ID: 1456242296 Enrollment ID: O20040827000155 |
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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. Edward A Blanzy 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 |
Edward A Blanzy, DO 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Edward A Blanzy, DO 19117 Allen Rd Ste A, Brownstown Twp, MI 48183-1066 Ph: (734) 676-4040 |
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