Keith P Blaquiere, PA - Medicare Physician Assistant in Boston, MA

  1. Home
  2. Physician Assistant
  3. MA
  4. Boston
Keith P Blaquiere, PA is a medicare enrolled "Physician Assistant" in Boston, Massachusetts. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Physicians Of Falmouth Hospital, Massachusetts General Physicians Organization Inc and his current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 566-2429.

Keith P Blaquiere is licensed to practice in Massachusetts (license number PA4100) 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 1265735369.

Contact Information

Keith P Blaquiere, PA
55 Fruit St,
Boston, MA 02114-2621
(508) 566-2429
Not Available

Map and Direction




Provider's Profile

Full NameKeith P Blaquiere
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith P Blaquiere graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1265735369
  • Provider Enumeration Date: 12/10/2010
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082890611
  • Enrollment ID: I20110517000324

Medical Identifiers

Medical identifiers for Keith P Blaquiere such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265735369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA4100 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Cod HospitalHyannis, MAHospital
Falmouth HospitalFalmouth, MAHospital
Beth Israel Deaconess Hospital - PlymouthPlymouth, MAHospital
Southcoast Hospital Group, IncFall river, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Of Falmouth Hospital680005197092
Massachusetts General Physicians Organization Inc24663658203494

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. Keith P Blaquiere allows following entities to bill medicare on his behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameMedical Affiliates of Cape Cod Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770534927
PECOS PAC ID: 3577471564
Enrollment ID: O20040510001010
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351
Entity NameEmergency Physicians of Falmouth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376828988
PECOS PAC ID: 9032377569
Enrollment ID: O20120229000783
Entity NamePhysicians of Falmouth Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821363698
PECOS PAC ID: 6800051970
Enrollment ID: O20120625000127
Entity NameUrgi Center Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902146798
PECOS PAC ID: 3476790601
Enrollment ID: O20130508000075

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. Keith P Blaquiere 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
Keith P Blaquiere, PA
49 Grand Oak Rd,
Forestdale, MA 02644-1202

Ph: (508) 566-2429		Keith P Blaquiere, PA
55 Fruit St,
Boston, MA 02114-2621

Ph: (508) 566-2429

Reviews and Comments


Physician Assistant Nurses in Boston, MA

Cara L Richards,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    Fax: 212-590-5581
Shawn Maguire, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 450 Brookline Ave, Boston, MA 02215
Phone: 617-582-8487    
Mr. Timothy Michael Britt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 725 Albany Street, Shapiro 4, Suite B, Boston, MA 02118
Phone: 617-638-5633    Fax: 617-414-5226
Ms. Amy Elizabeth Cotton, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    
Bridget N. Babich-wydysh, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Boston Medical Center Place, C500, Boston, MA 02118
Phone: 617-638-8609    Fax: 617-638-8607
Mark Branton, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 55 Fruit St, Boston, MA 02114
Phone: 617-726-7400    
Sara Elizabeth Grosslein, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit Street, White 1, Boston, MA 02114
Phone: 617-724-4100    Fax: 617-726-7415

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.