Dr Ruperto Divino Blanco Jr, MD in Wyoming, MI

Dr Ruperto Divino Blanco Jr, MD is a medicare enrolled "Family Medicine" physician in Wyoming, Michigan. His current practice location is 5838 Metro Way Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 249-5300.

Dr Ruperto Divino Blanco Jr is licensed to practice in Michigan (license number 4301076807) 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 1790736643.

Contact Information

	Dr Ruperto Divino Blanco Jr, MD
	5838 Metro Way Sw, Wyoming, MI 49519-9619
	(616) 249-5300
	(616) 249-5410

Map and Direction

Physician's Profile

Full Name	Dr Ruperto Divino Blanco Jr
Gender	Male
Speciality	Family Medicine
Location	5838 Metro Way Sw, Wyoming, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790736643
Provider Enumeration Date: 05/15/2006
Last Update Date: 02/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6002880812
Enrollment ID: I20181127001191

Medical Identifiers

Medical identifiers for Dr Ruperto Divino Blanco Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790736643	NPI	-	NPPES
4619765	Medicaid	MI
4878220	Medicaid	MI
4619756	Medicaid	MI
4877705	Medicaid	MI
0P441950001	Other	MI	MEDICARE TYPE 1

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301076807 (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 Ruperto Divino Blanco Jr 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
Dr Ruperto Divino Blanco Jr, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300	Dr Ruperto Divino Blanco Jr, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300

Reviews and Comments

Family Medicine Doctors in Wyoming, MI

Dr. Tristan J Worthington, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-4953
Mark W Newberry, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300
John W Hamersma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222
Alan Michael Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-685-3300 Fax: 616-685-3303
Michael J Bultje, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222
Dr. Richard J Stang, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 Sandy Ct Sw, Wyoming, MI 49418 Phone: 616-272-3909
Scott A Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8300 Fax: 616-252-8460

Dr Ruperto Divino Blanco Jr, MD - Medicare Family Medicine in Wyoming, MI