Miss Regine Blaise, FPMHNP in Forest Hills, NY

Miss Regine Blaise, FPMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Forest Hills, New York. Her current practice location is 11835 Queens Blvd Ste 1630, Forest Hills, New York. You can reach out to her office (for appointments etc.) via phone at (925) 231-4325.

Miss Regine Blaise is licensed to practice in New York (license number F404790) 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 1144929209.

Contact Information

	Miss Regine Blaise, FPMHNP
	11835 Queens Blvd Ste 1630, Forest Hills, NY 11375-7256
	(925) 231-4325
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Regine Blaise
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11835 Queens Blvd Ste 1630, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144929209
Provider Enumeration Date: 02/27/2023
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 1153783477
Enrollment ID: I20231012001158

Medical Identifiers

Medical identifiers for Miss Regine Blaise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144929209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ15040200 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F404790 (New York)	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. Miss Regine Blaise allows following entities to bill medicare on her behalf.

Entity Name	Aldad Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174784953 PECOS PAC ID: 9234291436 Enrollment ID: O20081223000175

Entity Name	Brookview Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532

Entity Name	Helping Hands With Regine Np In Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013770916 PECOS PAC ID: 3971941105 Enrollment ID: O20240405002310

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. Miss Regine Blaise 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
Miss Regine Blaise, FPMHNP Po Box 1133, West Babylon, NY 11704-0133 Ph: (631) 987-4632	Miss Regine Blaise, FPMHNP 11835 Queens Blvd Ste 1630, Forest Hills, NY 11375-7256 Ph: (925) 231-4325

Reviews and Comments

Nurse Practitioner Nurses in Forest Hills, NY

Ms. Maxine L Brooks, CNM, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11247 Queens Blvd, Suite 102, Forest Hills, NY 11375 Phone: 718-263-2986 Fax: 718-544-6475
Arkadiy Abraham Murdakhayev, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6625 103rd St Apt 6g, Forest Hills, NY 11375 Phone: 646-387-5808
Olga Yushuvayeva, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104-07 Metropolitan Ave, Forest Hills, NY 11375 Phone: 888-553-2823 Fax: 888-553-2823
May Jean Cheung, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6911 Yellowstone Blvd, Forest Hills, NY 11375 Phone: 646-379-5556
Mrs. Omolara A Olaniyi, PHD, FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11156 76th Dr, Forest Hills, NY 11375 Phone: 347-356-4434 Fax: 718-544-0972
Diksha Madaan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Ave, Forest Hills, NY 11375 Phone: 516-234-8471
Dr. Adebola Osewa, DNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4316

Miss Regine Blaise, FPMHNP - Medicare Nurse Practitioner in Forest Hills, NY