MARY CAROL BLAZEK M.D.
NPI 1831240118
Psychiatry & Neurology - Psychiatry in Ann Arbor, MI

Q: What is Mary Blazek's NPI number?

The NPI number for Mary Blazek is 1831240118. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Mary Blazek's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Blazek was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment

4260 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 936-4400 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Carol Blazek M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CAROL BLAZEK M.D. (NPI 1831240118) is an individual psychiatry provider in Ann Arbor, Michigan, licensed in Michigan (4301078784) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1831240118

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMARY CAROL BLAZEKCredential: M.D.

Location Address4260 PLYMOUTH RDAnn Arbor, MI 48109-2700

Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047

Phone(734) 936-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJanuary 15, 2007

Last NPPES UpdateSeptember 1, 2010

✔ NPI 1831240118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 4301078784

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedSpecialistTaxonomy 174400000X · License 4301078784 (MI)

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 4301078784 (MI)

4260 PLYMOUTH RD, Ann Arbor, MI 48109

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Other Identifiers 4

Other260H161260MI · Bcbs Grp

Medicare ID-Type UnspecifiedH16126021MI

Medicaid104334765MI

Medicare UPINA17690MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Carol Blazek M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274689088

PECOS Enrollment IDI20090921000270

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

51 services12 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

41 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA K BIBICOFF NP

Nurse Practitioner