| Jeffrey J Blau, MD | |
|
2300 Chamber Center Dr, Fort Mitchell, KY 41017 | |
| (859) 341-3114 | |
| (859) 578-2156 |
| Full Name | Jeffrey J Blau |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 2300 Chamber Center Dr, Fort Mitchell, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861446031 | NPI | - | NPPES |
| 2156769 | Medicaid | OH | |
| 64274293 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3508271B (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 27429 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Home Care | Florence, KY | Home health agency |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Blau, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 341-3114 | Jeffrey J Blau, MD 2300 Chamber Center Dr, Fort Mitchell, KY 41017 Ph: (859) 341-3114 |
Robert Lee Baker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Chamber Center Dr, Suite 100, Fort Mitchell, KY 41017 Phone: 859-341-3114 Fax: 859-578-2156 | |
Fred Wesley Dunaway, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Drive, Suite 100, Fort Mitchell, KY 41017 Phone: 859-341-3114 Fax: 859-578-2156 | |
Dr. David Wayne Suetholz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2378 Grandview Dr, Fort Mitchell, KY 41017 Phone: 859-341-1122 Fax: 859-341-1171 | |
Dr. Neel C Desai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Dr, Suite 100, Fort Mitchell, KY 41017 Phone: 859-341-3114 Fax: 859-578-2156 |