Judith Elisa Blakely, APRN: PSYCHIATRY - Medicare Nurse Practitioner in Queensbury, NY

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Judith Elisa Blakely, APRN: PSYCHIATRY is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Queensbury, New York. Her current practice location is 375 Bay Rd, Queensbury, New York. You can reach out to her office (for appointments etc.) via phone at (518) 480-7870.

Judith Elisa Blakely is licensed to practice in Vermont (license number 026.0015348) 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 1205185055.

Contact Information

Judith Elisa Blakely, APRN: PSYCHIATRY
375 Bay Rd,
Queensbury, NY 12804-3012
(518) 480-7870
Not Available

Map and Direction




Provider's Profile

Full NameJudith Elisa Blakely
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location375 Bay Rd, Queensbury, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205185055
  • Provider Enumeration Date: 09/06/2012
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072939990
  • Enrollment ID: I20230413001487

Medical Identifiers

Medical identifiers for Judith Elisa Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205185055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 101.0134532 (Vermont)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 026.0015348 (Vermont)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. Judith Elisa Blakely allows following entities to bill medicare on her behalf.
Entity NameParsons Child And Family Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922171305
PECOS PAC ID: 9931403656
Enrollment ID: O20160201001282

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. Judith Elisa Blakely 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
Judith Elisa Blakely, APRN: PSYCHIATRY
375 Bay Rd,
Queensbury, NY 12804-3012

Ph: (518) 480-7870		Judith Elisa Blakely, APRN: PSYCHIATRY
375 Bay Rd,
Queensbury, NY 12804-3012

Ph: (518) 480-7870

Reviews and Comments


Nurse Practitioner Nurses in Queensbury, NY

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Phone: 518-824-8610    Fax: 518-824-2390
Judy A Podziewski, FNP-BC
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Cheryl Ann Marino, FNP
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Practice Location: 161 Carey Rd, Queensbury, NY 12804
Phone: 518-824-8610    Fax: 518-824-2390
Patricia A Auer, DNP
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Sean P Campanie, FNP
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Practice Location: 161 Carey Rd, Queensbury, NY 12804
Phone: 518-824-8610    Fax: 518-824-2390
Felix Iyinbor Osawaru,
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Practice Location: 375 Bay Road, Assertive Community Treatment Team, Queensbury, NY 12804
Phone: 518-480-7870    

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.