Marisa L Bloch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chappaqua, New York. Her current practice location is
480 Bedford Rd Ste 4202, Chappaqua, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 244-8762.
Marisa L Bloch is licensed to practice in New York (license number 501497-1) 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 1972707339.
Provider's Profile
Full Name | Marisa L Bloch |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 480 Bedford Rd Ste 4202, Chappaqua, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972707339
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678730314
- Enrollment ID: I20120207000729
Medical Identifiers
Medical identifiers for Marisa L Bloch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972707339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 501497-1 (New York) | 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. Marisa L Bloch allows following entities to bill medicare on her behalf.
Entity Name | Northeastern Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558314674 PECOS PAC ID: 4981593662 Enrollment ID: O20040311000798 |
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Entity Name | Weill Medical College Of Cornell |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164768305 PECOS PAC ID: 6800709023 Enrollment ID: O20130308000455 |
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Entity Name | North Shore - Lij Anesthesiology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
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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. Marisa L Bloch 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 |
Marisa L Bloch, CRNA 480 Bedford Rd Ste 4202, Chappaqua, NY 10514-1716 Ph: (914) 244-8762 | Marisa L Bloch, CRNA 480 Bedford Rd Ste 4202, Chappaqua, NY 10514-1716 Ph: (914) 244-8762 |
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