Dr Marissa Blake, in Middletown, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Marissa Blake, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Middletown, Connecticut. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Integrated Anesthesia Associates Llc, Anesthesiologists Of Middletown, P.c. and her current practice location is 28 Crescent St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 358-6000.

Dr Marissa Blake is licensed to practice in Connecticut (license number 9811) 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 1275103343.

Contact Information

	Dr Marissa Blake,
	28 Crescent St, Middletown, CT 06457-3654
	(860) 358-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Marissa Blake
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	28 Crescent St, Middletown, Connecticut
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:

Dr Marissa Blake graduated from nursing school in 2021

NPI Data:

NPI Number: 1275103343
Provider Enumeration Date: 06/30/2021
Last Update Date: 02/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5799183026
Enrollment ID: I20211018000756

Medical Identifiers

Medical identifiers for Dr Marissa Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275103343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	9811 (Connecticut)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Middlesex Hospital	Middletown, CT	Hospital
Midstate Medical Center	Meriden, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Anesthesia Associates Llc	1759281165	391
Anesthesiologists Of Middletown, P.c.	2769479781	39

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. Dr Marissa Blake allows following entities to bill medicare on her behalf.

Entity Name	Integrated Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163

Entity Name	Anesthesiologists Of Middletown, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851317135 PECOS PAC ID: 2769479781 Enrollment ID: O20040429001224

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 Marissa Blake 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 Marissa Blake, 128 Bassett Rd, North Haven, CT 06473-1903 Ph: () -	Dr Marissa Blake, 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Middletown, CT

Stacey Ann Delisle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301
Kerry Alyssa Perry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 S Main St, Middletown, CT 06457 Phone: 860-347-0720
Matthew Scoggins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 51 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301
Lorriane Brandolini, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301
Kristen Martinez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 51 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301
Judith Dawe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301

Dr Marissa Blake, - Medicare Certified Registered Nurse Anesthetist (crna) in Middletown, CT