Wesley Blake Vanderlan, MD in Detroit, MI

Wesley Blake Vanderlan, MD is a medicare enrolled "Surgery" physician in Detroit, Michigan. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1993 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Keystone Medical Services Of Alabama, Inc., Paragon Emergency Services Llc and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2600.

Wesley Blake Vanderlan is licensed to practice in Michigan (license number 4301086703) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609097898.

Contact Information

	Wesley Blake Vanderlan, MD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-2600
	Not Available

Map and Direction

Physician's Profile

Full Name	Wesley Blake Vanderlan
Gender	Male
Speciality	General Surgery
Experience	33 Years
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wesley Blake Vanderlan attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1993

NPI Data:

NPI Number: 1609097898
Provider Enumeration Date: 05/02/2007
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 2365479250
Enrollment ID: I20240716003679

Medical Identifiers

Medical identifiers for Wesley Blake Vanderlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609097898	NPI	-	NPPES
00117675	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	14789 (Mississippi)	Secondary
208600000X	Surgery	14789 (Mississippi)	Secondary
208600000X	Surgery	20800 (North Dakota)	Secondary
2086S0102X	Surgery - Surgical Critical Care	1930 (Georgia)	Secondary
2086S0102X	Surgery - Surgical Critical Care	ME115495 (Florida)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MC-2691 (Idaho)	Secondary
2086S0102X	Surgery - Surgical Critical Care	14789 (Mississippi)	Secondary
2086S0127X	Surgery - Trauma Surgery	14789 (Mississippi)	Secondary
208600000X	Surgery	4301086703 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Putnam Community Medical Center	Palatka, FL	Hospital
Troy Regional Medical Center	Troy, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Keystone Medical Services Of Alabama, Inc.	7719365352	10
Paragon Emergency Services Llc	8628153087	398

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. Wesley Blake Vanderlan allows following entities to bill medicare on his behalf.

Entity Name	Northwest Emergency Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205197951 PECOS PAC ID: 8628224425 Enrollment ID: O20120810000153

Entity Name	Emergency Services Of Mobile, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013269802 PECOS PAC ID: 5092968255 Enrollment ID: O20130122000092

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. Wesley Blake Vanderlan 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
Wesley Blake Vanderlan, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Wesley Blake Vanderlan, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600

Reviews and Comments

Surgery Doctors in Detroit, MI

Kaitlyn Dobesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Dr. Bellal Ali Joseph, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3056 Fax: 313-916-9920
Charles Edward Lucas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669
Christopher Paul Cassell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000
Mitchell Ross Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3156 Fax: 313-916-3023
Alexander Marinica, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235 Phone: 313-966-3222
Dr. Rachel Wobig, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5071 Fax: 313-916-9920

Wesley Blake Vanderlan, MD - Medicare General Surgery in Detroit, MI