Dr Debra Ellen Blaine, MD - Medicare General Practice in East Northport, NY

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Dr Debra Ellen Blaine, MD is a medicare enrolled "General Practice" physician in East Northport, New York. Her current practice location is 1912 E Jericho Trpk, East Northport, New York. You can reach out to her office (for appointments etc.) via phone at (631) 238-3065.

Dr Debra Ellen Blaine is licensed to practice in New York (license number 179846) 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 1841358140.

Contact Information

Dr Debra Ellen Blaine, MD
1912 E Jericho Trpk,
East Northport, NY 11731-1173
(631) 238-3065
(631) 443-4625

Map and Direction




Physician's Profile

Full NameDr Debra Ellen Blaine
GenderFemale
SpecialityGeneral Practice
Location1912 E Jericho Trpk, East Northport, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841358140
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 04/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5991785818
  • Enrollment ID: I20040721001743

Medical Identifiers

Medical identifiers for Dr Debra Ellen Blaine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841358140NPI-NPPES
03848208MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 179846 (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. Dr Debra Ellen Blaine allows following entities to bill medicare on her behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052
Entity NameExcel Urgent Care Of Nesconset Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851679252
PECOS PAC ID: 5092985986
Enrollment ID: O20110901000410
Entity NameExcel Urgent Care Of East Northport Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881978021
PECOS PAC ID: 5294909826
Enrollment ID: O20111117000180
Entity NameExcel Urgent Care Of Nhp Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952652281
PECOS PAC ID: 1658517883
Enrollment ID: O20130413000109
Entity NameExcel Urgent Care Of Wantagh Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184067936
PECOS PAC ID: 9234364027
Enrollment ID: O20131104000254

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 Debra Ellen Blaine 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 Debra Ellen Blaine, MD
46 Northgate Cres,
Melville, NY 11747-3028

Ph: (516) 822-9109		Dr Debra Ellen Blaine, MD
1912 E Jericho Trpk,
East Northport, NY 11731-1173

Ph: (631) 238-3065

Reviews and Comments


General Practice Doctors in East Northport, NY

Dr. Timoteo Zuno, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 239 Cedar Rd, East Northport, NY 11731
Phone: 631-838-4725    

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.