Dr Debra Ellen Blaine, MD is a medicare enrolled "General Practice" physician in East Northport, New York. Her current practice location is
1912 E Jericho Trpk, East Northport, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 238-3065.
Dr Debra Ellen Blaine is licensed to practice in New York (license number 179846) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841358140.
Physician's Profile
| Full Name | Dr Debra Ellen Blaine |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1912 E Jericho Trpk, East Northport, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Debra Ellen Blaine attended and graduated from in
NPI Data:
- NPI Number: 1841358140
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 04/13/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Debra Ellen Blaine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841358140 | NPI | - | NPPES |
| 03848208 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 179846 (New York) | 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. Dr Debra Ellen Blaine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Debra Ellen Blaine, MD
46 Northgate Cres,
Melville, NY 11747-3028
Ph: (516) 822-9109 | Dr Debra Ellen Blaine, MD
1912 E Jericho Trpk,
East Northport, NY 11731-1173
Ph: (631) 238-3065 |
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