| Tara Lynn Blank, PA-C | |
|
1231 Pine Grove Ave, Suite 2a, Port Huron, MI 48060-3500 | |
| (810) 982-8742 | |
| (810) 984-8291 |
| Full Name | Tara Lynn Blank |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1231 Pine Grove Ave, Port Huron, 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 |
|---|---|---|---|
| 1841266053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003675 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckenzie Health System | Sandusky, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mckenzie Memorial Hospital | 6406755289 | 25 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lynn Blank, PA-C 3050 Commerce Dr, Suite B, Fort Gratiot, MI 48059-3819 Ph: (810) 385-4441 | Tara Lynn Blank, PA-C 1231 Pine Grove Ave, Suite 2a, Port Huron, MI 48060-3500 Ph: (810) 982-8742 |
Ms. Salwa Wadud Choudhury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Stone St, Suite #3, Port Huron, MI 48060 Phone: 810-985-5000 Fax: 810-985-3700 | |
Joshua Bosley Kiba, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 940 River Centre Dr, Port Huron, MI 48060 Phone: 810-985-4900 Fax: 810-985-3634 | |
Shaun Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2425 Military St Rm 2, Port Huron, MI 48060 Phone: 810-984-5700 Fax: 810-984-1886 | |
Ashley Lauren Turner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 940 River Centre Dr, Port Huron, MI 48060 Phone: 810-985-4900 Fax: 810-985-3634 | |
Sydney Nicole Collins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1427 21st St, Port Huron, MI 48060 Phone: 810-858-7449 | |
Nicholas M Branch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1231 Pine Grove Ave Ste 1a, Port Huron, MI 48060 Phone: 810-985-4300 Fax: 810-985-9320 | |
Scott Michael Dedoe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Emergency Medicine Department, Port Huron, MI 48060 Phone: 810-989-3300 Fax: 810-985-2671 |