| Ms Erica Blake, PA | |
|
44344 Dequindre Rd Ste 330, Sterling Heights, MI 48314-1040 | |
| (248) 964-1460 | |
| Not Available |
| Full Name | Ms Erica Blake |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 44344 Dequindre Rd Ste 330, Sterling Heights, 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 |
|---|---|---|---|
| 1912375346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007453 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 575 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Erica Blake, PA 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Ms Erica Blake, PA 44344 Dequindre Rd Ste 330, Sterling Heights, MI 48314-1040 Ph: (248) 964-1460 |
David Giancola Iii, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2405 E 14 Mile Rd, Sterling Heights, MI 48310 Phone: 586-264-1800 Fax: 586-264-1155 |
Stephanie Mary Setto, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310 Phone: 586-446-8060 Fax: 586-446-8062 |
Brenna Camille Wyffels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35111 Dodge Park Rd, Sterling Heights, MI 48312 Phone: 586-978-8010 |
John Poules, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2567 Metropolitan Pkwy, Sterling Heights, MI 48310 Phone: 586-754-0000 |
Dr. Satish Babu Nagelli, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 39393 Van Dyke Ave Ste 101, Sterling Heights, MI 48313 Phone: 313-403-8787 |
Andrew Cox, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 35735 Mound Rd Ste 100, Sterling Heights, MI 48310 Phone: 586-261-1960 |
Valerie Verhaeghe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 43401 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-488-3636 |