Mr Dwayne Blake, FNP - Medicare Nurse Practitioner in Floral Park, NY

Mr Dwayne Blake, FNP is a medicare enrolled "Nurse Practitioner - Family" in Floral Park, New York. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice George Safran Md Pc and his current practice location is 372 Jericho Tpke, Floral Park, New York. You can reach out to his office (for appointments etc.) via phone at (516) 326-3811.

Mr Dwayne Blake is licensed to practice in New York (license number 348517) 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 1194480335.

Contact Information

Mr Dwayne Blake, FNP
372 Jericho Tpke,
Floral Park, NY 11001-2235
(516) 326-3811
Not Available

Map and Direction




Provider's Profile

Full NameMr Dwayne Blake
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location372 Jericho Tpke, Floral Park, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Dwayne Blake graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1194480335
  • Provider Enumeration Date: 11/02/2021
  • Last Update Date: 08/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648665398
  • Enrollment ID: I20220316003497

Medical Identifiers

Medical identifiers for Mr Dwayne Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194480335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 348517 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
George Safran Md Pc256764204469

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. Mr Dwayne Blake allows following entities to bill medicare on his behalf.
Entity NameGeorge Safran Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487983516
PECOS PAC ID: 2567642044
Enrollment ID: O20110216000235

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. Mr Dwayne 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 AddressPractice Location Address
Mr Dwayne Blake, FNP
672 Dogwood Ave # 1017,
Franklin Square, NY 11010-3247

Ph: (518) 666-8864
Mr Dwayne Blake, FNP
372 Jericho Tpke,
Floral Park, NY 11001-2235

Ph: (516) 326-3811

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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