Justin Blaty, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Baraboo, Wisconsin. His current practice location is
1626 Tuttle St, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 355-2033.
Justin Blaty is licensed to practice in Wisconsin (license number 77233) 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 1548766835.
Physician's Profile
Full Name | Justin Blaty |
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Gender | Male |
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Speciality | Pediatrics - Sleep Medicine |
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Location | 1626 Tuttle St, Baraboo, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548766835
- Provider Enumeration Date: 04/04/2018
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022355460
- Enrollment ID: I20221027000197
Medical Identifiers
Medical identifiers for Justin Blaty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548766835 | NPI | - | NPPES |
1548766835 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080S0012X | Pediatrics - Sleep Medicine | MD61145727 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2080S0012X | Pediatrics - Sleep Medicine | 77233 (Wisconsin) | 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. Justin Blaty allows following entities to bill medicare on his behalf.
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
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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. Justin Blaty 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 |
Justin Blaty, MD 1626 Tuttle St, Baraboo, WI 53913-1501 Ph: (608) 355-2033 | Justin Blaty, MD 1626 Tuttle St, Baraboo, WI 53913-1501 Ph: (608) 355-2033 |
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