| Jeremy Blanchard, MD | |
|
1611 S Green Rd Ste 65, South Euclid, OH 44121-4129 | |
| (440) 556-6194 | |
| Not Available |
| Full Name | Jeremy Blanchard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1611 S Green Rd Ste 65, South Euclid, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962898510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.153535 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 317827 (New York) | Secondary |
| 207Q00000X | Family Medicine | M-15302 (Idaho) | Secondary |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Blanchard, MD 1161 S Green Road, Ste 065, South Euclid, OH 44121 Ph: (440) 556-6194 | Jeremy Blanchard, MD 1611 S Green Rd Ste 65, South Euclid, OH 44121-4129 Ph: (440) 556-6194 |
Dr. Ann Marie Witt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2054 South Green Road, South Euclid, OH 44121 Phone: 216-291-9210 Fax: 216-291-9422 | |
Lily Grace Veeravalli, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 160, South Euclid, OH 44121 Phone: 216-297-2084 | |
Alicia Marie Jones, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121 Phone: 216-553-5055 |