Marisa L Bloch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chappaqua, New York. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Shore - Lij Anesthesiology, Pc and her current practice location is
480 Bedford Rd Ste 4202, Chappaqua, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 244-8762.
Marisa L Bloch is licensed to practice in New York (license number 501497-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972707339.
Provider's Profile
| Full Name | Marisa L Bloch |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 24 Years |
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| Location | 480 Bedford Rd Ste 4202, Chappaqua, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marisa L Bloch graduated from nursing school in 2002
NPI Data:
- NPI Number: 1972707339
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678730314
- Enrollment ID: I20120207000729
Medical Identifiers
Medical identifiers for Marisa L Bloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972707339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 501497-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Anesthesiology, Pc | 1153602453 | 990 |
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. Marisa L Bloch allows following entities to bill medicare on her behalf.
| Entity Name | Weill Medical College of Cornell |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164768305
PECOS PAC ID: 6800709023
Enrollment ID: O20130308000455 |
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| Entity Name | North Shore - Lij Anesthesiology, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498 |
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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. Marisa L Bloch 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 |
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Marisa L Bloch, CRNA
480 Bedford Rd Ste 4202,
Chappaqua, NY 10514-1716
Ph: (914) 244-8762 | Marisa L Bloch, CRNA
480 Bedford Rd Ste 4202,
Chappaqua, NY 10514-1716
Ph: (914) 244-8762 |
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