Thomas Blazi, CRNP in Harrisburg, PA - Medicare Nurse Practitioner

Thomas Blazi, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Harrisburg, Pennsylvania. His current practice location is 810 Sir Thomas Ct Ste 101, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 614-4420.

Thomas Blazi is licensed to practice in Pennsylvania (license number SP026008) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073252854.

Contact Information

	Thomas Blazi, CRNP
	810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109-4839
	(717) 614-4420
	(717) 614-4421

Map and Direction

Provider's Profile

Full Name	Thomas Blazi
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	810 Sir Thomas Ct Ste 101, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073252854
Provider Enumeration Date: 06/01/2022
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5991188559
Enrollment ID: I20220815000183

Medical Identifiers

Medical identifiers for Thomas Blazi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073252854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN584989 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP026008 (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. Thomas Blazi allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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. Thomas Blazi 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
Thomas Blazi, CRNP 810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109-4839 Ph: (717) 614-4420	Thomas Blazi, CRNP 810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109-4839 Ph: (717) 614-4420

Reviews and Comments

Nurse Practitioner Nurses in Harrisburg, PA

Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568
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Yanxia Wang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131
Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621

Thomas Blazi, CRNP - Medicare Nurse Practitioner in Harrisburg, PA