Theodore Blaszczyk, MD in Smithtown, NY - Medicare Obstetrics/gynecology

Theodore Blaszczyk, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Smithtown, New York. He went to Northwestern University Feinberg Medical School and graduated in 1983 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice University Associates In Obstetrics And Gynecology University Faculty and his current practice location is 200 E Main St Ste 1e, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at (631) 265-4567.

Theodore Blaszczyk is licensed to practice in New York (license number 169211) 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 1962588640.

Contact Information

	Theodore Blaszczyk, MD
	200 E Main St Ste 1e, Smithtown, NY 11787
	(631) 265-4567
	(631) 265-4704

Map and Direction

Physician's Profile

Full Name	Theodore Blaszczyk
Gender	Male
Speciality	Obstetrics/gynecology
Experience	41 Years
Location	200 E Main St Ste 1e, Smithtown, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore Blaszczyk attended and graduated from Northwestern University Feinberg Medical School in 1983

NPI Data:

NPI Number: 1962588640
Provider Enumeration Date: 10/27/2006
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7517986052
Enrollment ID: I20051115000163

Medical Identifiers

Medical identifiers for Theodore Blaszczyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962588640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0000X	Obstetrics & Gynecology - Obstetrics	169211 (New York)	Secondary
207VG0400X	Obstetrics & Gynecology - Gynecology	169211 (New York)	Secondary
207V00000X	Obstetrics & Gynecology	169211 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Associates In Obstetrics And Gynecology University Faculty	9032001045	98

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. Theodore Blaszczyk allows following entities to bill medicare on his behalf.

Entity Name	University Associates In Obstetrics & Gynecology University Faculty P
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538114723 PECOS PAC ID: 9032001045 Enrollment ID: O20040325001243

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. Theodore Blaszczyk 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
Theodore Blaszczyk, MD 45 Research Way Ste 208a, East Setauket, NY 11733-6401 Ph: (631) 675-2125	Theodore Blaszczyk, MD 200 E Main St Ste 1e, Smithtown, NY 11787 Ph: (631) 265-4567

Reviews and Comments

Obstetrics & Gynecology Doctors in Smithtown, NY

Jennifer Slagus, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a Ste 207, Smithtown, NY 11787 Phone: 631-862-3800 Fax: 631-265-5520
Dr. Charles T Mann, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 48 Route 25a Ste 207, Smithtown, NY 11787 Phone: 631-862-3800
Dr. Karen H Stampf, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 48 Route 25a, Suite 207, Smithtown, NY 11787 Phone: 631-862-3800
Dr. Jerry A Wider, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 48 Route 25a, Suite 207, Smithtown, NY 11787 Phone: 631-862-3800
Dr. David Michael Shobin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 498 Rt 11, Smithtown, NY 11787 Phone: 631-724-6224 Fax: 631-724-6282
Dr. Morisa J Marin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a Ste 207, Smithtown, NY 11787 Phone: 631-862-3800 Fax: 631-265-5520
Polly Kanganis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 E Main St Ste 1e, Smithtown, NY 11787 Phone: 631-265-4567 Fax: 631-265-4704

Theodore Blaszczyk, MD - Medicare Obstetrics/gynecology in Smithtown, NY