Gina Blazewicz, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Staten Island, New York. Her current practice location is
475 Seaview Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 226-9000.
Gina Blazewicz is licensed to practice in New York (license number 029374) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154034916.
Physician's Profile
Full Name | Gina Blazewicz |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 475 Seaview Ave, Staten Island, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154034916
- Provider Enumeration Date: 12/26/2022
- Last Update Date: 03/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800258690
- Enrollment ID: I20230810001661
Medical Identifiers
Medical identifiers for Gina Blazewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154034916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 029374 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | 029374 (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. Gina Blazewicz 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 |
Gina Blazewicz, PA-C 46 Linton Pl, Staten Island, NY 10308-1623 Ph: (347) 409-7164 | Gina Blazewicz, PA-C 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 |
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