Dr Jessica Lynn Blydenburgh, DO - Medicare Family Practice in Port Jefferson, NY

  1. Home
  2. Family Medicine
  3. NY
  4. Port Jefferson
Dr Jessica Lynn Blydenburgh, DO is a medicare enrolled "Family Medicine" physician in Port Jefferson, New York. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Harbor View Medical Services Pc and her current practice location is 125 Oakland Ave, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 736-1311.

Dr Jessica Lynn Blydenburgh is licensed to practice in New York (license number 270049) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144548918.

Contact Information

Dr Jessica Lynn Blydenburgh, DO
125 Oakland Ave,
Port Jefferson, NY 11777-2130
(631) 736-1311
(631) 736-1312

Map and Direction




Physician's Profile

Full NameDr Jessica Lynn Blydenburgh
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location125 Oakland Ave, Port Jefferson, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jessica Lynn Blydenburgh graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1144548918
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 08/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2961631403
  • Enrollment ID: I20140204000799

Medical Identifiers

Medical identifiers for Dr Jessica Lynn Blydenburgh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144548918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 270049 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Catholic Home CareFarmingdale, NYHome health agency
Peconic Bay Homehealth ServicesRiverhead, NYHome health agency
Tender Loving Care, An Amedisys CompanyMedford, NYHome health agency
Kindred At Home (hauppauge)Hauppauge, NYHome health agency
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital
Suny/stony Brook University HospitalStony brook, NYHospital
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbor View Medical Services Pc509286587347

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. Dr Jessica Lynn Blydenburgh allows following entities to bill medicare on her behalf.
Entity NameHarbor View Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861636219
PECOS PAC ID: 5092865873
Enrollment ID: O20090617000230

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. Dr Jessica Lynn Blydenburgh 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
Dr Jessica Lynn Blydenburgh, DO
211 Cassa Loop,
Holtsville, NY 11742-2610

Ph: (631) 786-4360		Dr Jessica Lynn Blydenburgh, DO
125 Oakland Ave,
Port Jefferson, NY 11777-2130

Ph: (631) 736-1311

Reviews and Comments


Family Medicine Doctors in Port Jefferson, NY

Michelle Marilyn Craddock, ANP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588
Dr. Erika M Jurasits, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 170 N Country Rd Ste 2, Port Jefferson, NY 11777
Phone: 631-509-6888    Fax: 631-509-6895
Dr. Francis M. Francin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 680 Main St, Suite2, Port Jefferson, NY 11777
Phone: 631-474-8626    Fax: 531-474-8626
Dr. Rhonda S Burmeister, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588
Dr. Lewis Lee Bateman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 125 Oakland Ave Suite 205, Mather Primary Care, Port Jefferson, NY 11777
Phone: 631-686-2523    Fax: 631-686-2525
Dr. James Thomas Kelly, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.