Trystan Blake, DO in Middletown, NY - Medicare Family Practice

Trystan Blake, DO is a medicare enrolled "Family Medicine" physician in Middletown, New York. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 707 E Main St, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 333-7373.

Trystan Blake is licensed to practice in Utah (license number 13772735-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275114753.

Contact Information

	Trystan Blake, DO
	707 E Main St, Middletown, NY 10940-2650
	(845) 333-7373
	Not Available

Map and Direction

Physician's Profile

Full Name	Trystan Blake
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	707 E Main St, Middletown, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Trystan Blake graduated from medical school in 2021

NPI Data:

NPI Number: 1275114753
Provider Enumeration Date: 04/16/2021
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4880129758
Enrollment ID: I20241202001905

Medical Identifiers

Medical identifiers for Trystan Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275114753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	13772735-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salt Lake Regional Medical Center	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catholic Health Initiatives Colorado	8022927342	1231

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. Trystan Blake allows following entities to bill medicare on his behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995

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. Trystan Blake 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
Trystan Blake, DO 707 E Main St, Middletown, NY 10940-2650 Ph: () -	Trystan Blake, DO 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-7373

Reviews and Comments

Family Medicine Doctors in Middletown, NY

Bharathi V Bonthu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Benton Ave, Middletown, NY 10940 Phone: 845-563-8000
Dr. Purushottam Tiwari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Sangjin Lim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Zoila Cartaya, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 345 Stony Ford Rd, Middletown, NY 10941 Phone: 845-692-8303 Fax: 845-692-8303
Carlton I. Glover, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-3370 Fax: 845-333-3372
Dr. Justine Patricia Morgan-colon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 E. Main Street, Middletown, NY 10940 Phone: 845-333-6333 Fax: 845-333-7342
Kajal Nishant Nadpara, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297

Trystan Blake, DO - Medicare Family Practice in Middletown, NY