Katie Blazusiak, in Bethlehem, PA - Medicare Nurse Practitioner

Katie Blazusiak, is a medicare enrolled "Nurse Practitioner - Gerontology" in Bethlehem, Pennsylvania. Her current practice location is 1565 Linden St, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 867-5365.

Katie Blazusiak is licensed to practice in Pennsylvania (license number SP015421) 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 1033589205.

Contact Information

	Katie Blazusiak,
	1565 Linden St, Bethlehem, PA 18017-4744
	(610) 867-5365
	(610) 867-5366

Map and Direction

Provider's Profile

Full Name	Katie Blazusiak
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1565 Linden St, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033589205
Provider Enumeration Date: 10/01/2015
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 5092015255
Enrollment ID: I20151120000507

Medical Identifiers

Medical identifiers for Katie Blazusiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033589205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP015421 (Pennsylvania)	Primary

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. Katie Blazusiak allows following entities to bill medicare on her behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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. Katie Blazusiak 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
Katie Blazusiak, 1565 Linden St, Bethlehem, PA 18017-4744 Ph: (610) 867-5365	Katie Blazusiak, 1565 Linden St, Bethlehem, PA 18017-4744 Ph: (610) 867-5365

Reviews and Comments

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Katie Blazusiak, - Medicare Nurse Practitioner in Bethlehem, PA