Richard Blazeski, is a
Physician Assistant based in Port Jervis, New York. Richard Blazeski is licensed to practice in * (Not Available) (license number ) and his current practice location is
11 Orchard St, Port Jervis, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 672-3995.
NPI number for Richard Blazeski is 1407684905 and his current mailing address is 60 Sinsabaugh Rd, Pine Bush, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407684905.
Provider's Profile
| Full Name | Richard Blazeski |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 11 Orchard St, Port Jervis, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407684905
- Provider Enumeration Date: 07/25/2024
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Richard Blazeski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407684905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Richard Blazeski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard Blazeski,
60 Sinsabaugh Rd,
Pine Bush, NY 12566-5461
Ph: (845) 978-5121 | Richard Blazeski,
11 Orchard St,
Port Jervis, NY 12771-2027
Ph: (845) 672-3995 |
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