Blaze Fahnestock, FNP in Pulaski, NY - Medicare Nurse Practitioner

Blaze Fahnestock, FNP is a medicare enrolled "Nurse Practitioner" in Pulaski, New York. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Oswego County Health Services, Inc. and her current practice location is 61 Delano St, Pulaski, New York. You can reach out to her office (for appointments etc.) via phone at (315) 298-6569.

Blaze Fahnestock is licensed to practice in New York (license number 346711) 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 1386246692.

Contact Information

	Blaze Fahnestock, FNP
	61 Delano St, Pulaski, NY 13142-1400
	(315) 298-6569
	Not Available

Map and Direction

Provider's Profile

Full Name	Blaze Fahnestock
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	61 Delano St, Pulaski, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blaze Fahnestock graduated from nursing school in 2020

NPI Data:

NPI Number: 1386246692
Provider Enumeration Date: 11/11/2020
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1355753229
Enrollment ID: I20201217001211

Medical Identifiers

Medical identifiers for Blaze Fahnestock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386246692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	346711 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oswego Hospital	Oswego, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Oswego County Health Services, Inc.	8426961541	31

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. Blaze Fahnestock allows following entities to bill medicare on her behalf.

Entity Name	Northern Oswego County Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070

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. Blaze Fahnestock 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
Blaze Fahnestock, FNP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569	Blaze Fahnestock, FNP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569

Reviews and Comments

Nurse Practitioner Nurses in Pulaski, NY

Jody Lee Hipple, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano Street, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968
Heidi Marie Kinnally, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7831
Megan Hollister, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488
Lindsay Ogorchock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488
Jessica Kimball, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569
Annette Digby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569

Blaze Fahnestock, FNP - Medicare Nurse Practitioner in Pulaski, NY