Nicholas Edward Blonien, DO is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Menomonee Falls, Wisconsin. His current practice location is
W129n7055 Northfield Dr, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 253-5150.
Nicholas Edward Blonien is licensed to practice in Wisconsin (license number 81004) 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 1770932485.
Physician's Profile
Full Name | Nicholas Edward Blonien |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | W129n7055 Northfield Dr, Menomonee Falls, 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: 1770932485
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 08/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850753294
- Enrollment ID: I20230816002475
Medical Identifiers
Medical identifiers for Nicholas Edward Blonien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770932485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 68776 (Minnesota) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 81004 (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. Nicholas Edward Blonien allows following entities to bill medicare on his behalf.
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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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. Nicholas Edward Blonien 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 |
Nicholas Edward Blonien, DO W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5150 | Nicholas Edward Blonien, DO W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5150 |
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