Kenneth Robert Blank, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Pompton Plains, New Jersey. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Practice Associates Medical Group and his current practice location is
97 W Parkway, Pompton Plains, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 831-5306.
Kenneth Robert Blank is licensed to practice in New Jersey (license number 25MA06871100) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205864964.
Physician's Profile
| Full Name | Kenneth Robert Blank |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 32 Years |
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| Location | 97 W Parkway, Pompton Plains, New Jersey |
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| Accepts Medicare Assignments | Yes. He 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:
- Kenneth Robert Blank attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1992
NPI Data:
- NPI Number: 1205864964
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911973672
- Enrollment ID: I20040917000473
Medical Identifiers
Medical identifiers for Kenneth Robert Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205864964 | NPI | - | NPPES |
| 7930500 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 25MA06871100 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Practice Associates Medical Group | 5890703177 | 1174 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Robert Blank allows following entities to bill medicare on his behalf.
| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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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. Kenneth Robert Blank 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 |
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Kenneth Robert Blank, MD
Po Box 416457,
Boston, MA 02241-6457
Ph: (844) 362-1735 | Kenneth Robert Blank, MD
97 W Parkway,
Pompton Plains, NJ 07444-1647
Ph: (973) 831-5306 |
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