Mark A Blazek, MD - Pediatrics in Portage, MI

Mark A Blazek, MD is a Pediatrics physician based in Portage, Michigan. Mark A Blazek is licensed to practice in Michigan (license number MB041426) and his current practice location is 670 Mall Dr, Portage, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 327-1900.

NPI number for Mark A Blazek is 1649240292 and his current mailing address is 670 Mall Dr, Portage, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649240292.

Contact Information

Mark A Blazek, MD
670 Mall Dr,
Portage, MI 49024-2878
(269) 327-1900
(269) 327-1564



Physician's Profile

Full NameMark A Blazek
GenderMale
SpecialityPediatrics
Location670 Mall Dr, Portage, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649240292
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark A Blazek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649240292NPI-NPPES
1398615MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MB041426 (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. Mark A Blazek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark A Blazek, MD
670 Mall Dr,
Portage, MI 49024-2878

Ph: (269) 327-1900
Mark A Blazek, MD
670 Mall Dr,
Portage, MI 49024-2878

Ph: (269) 327-1900

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Pediatrics Doctors in Portage, MI

Sara Ehlke-bejcek, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2680 W Centre Ave, Portage, MI 49024
Phone: 269-324-2400    Fax: 269-324-0450
Linda Garrison,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8001 Angling Rd, Portage, MI 49024
Phone: 269-329-0944    
Dr. Anthony J Van Es, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5082 Lovers Ln, Portage, MI 49002
Phone: 269-381-0118    Fax: 269-381-4610
Dr. Elena Jean Lewis, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024
Phone: 269-342-0196    Fax: 269-342-0532
Thomas R Akland, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8001 Angling Rd, Portage, MI 49024
Phone: 269-329-0944    
Julie Elias, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2680 W Centre Ave, Portage, MI 49024
Phone: 269-324-2400    Fax: 269-324-0450
Sandra Wiederhold, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 670 Mall Dr, Portage, MI 49024
Phone: 269-327-1900    

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