| Kellie Jasmine Blank, PA-C | |
|
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
| (734) 246-6000 | |
| Not Available |
| Full Name | Kellie Jasmine Blank |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2333 Biddle Ave, Wyandotte, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659989630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011698 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Medical Group | 0547178311 | 2095 |
| Henry Ford Wyandotte Hospital | 2264334499 | 146 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Jasmine Blank, PA-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: () - | Kellie Jasmine Blank, PA-C 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 246-6000 |
Marissa Gabrielle Drogheo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mr. Ibrahim Hussein Dabaja, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1768 Ford Ave, Wyandotte, MI 48192 Phone: 313-377-5758 Fax: 734-574-6060 | |
Alyssa Hebert, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 735-246-6000 | |
Vanessa Varma, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 Ford Ave, Ste. 100, Wyandotte, MI 48192 Phone: 586-612-3556 | |
Alexis Alicia Hernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Nancy M Campbell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 313-284-9400 | |
Morgan Brooke Foster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 800-653-6568 Fax: 313-876-1307 |