Ms Maryellen Blank, NP - Medicare Clinical Nurse Specialist in West Islip, NY

Ms Maryellen Blank, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in West Islip, New York. Her current practice location is 170 Driftwood Dr, West Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 422-7362.

Ms Maryellen Blank is licensed to practice in New York (license number 400620) 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 1609930015.

Contact Information

Ms Maryellen Blank, NP
170 Driftwood Dr,
West Islip, NY 11795-5002
(631) 422-7362
Not Available

Map and Direction




Provider's Profile

Full NameMs Maryellen Blank
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location170 Driftwood Dr, West Islip, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609930015
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759609688
  • Enrollment ID: I20150406000602

Medical Identifiers

Medical identifiers for Ms Maryellen Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609930015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 400620 (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. Ms Maryellen Blank allows following entities to bill medicare on her behalf.
Entity NameCatholic Charities Of The Diocese Of Rockville Centre
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124034558
PECOS PAC ID: 9436137908
Enrollment ID: O20040721000332
Entity NameThe Long Island Home
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1821394016
PECOS PAC ID: 8224055108
Enrollment ID: O20110411000230

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. Ms Maryellen Blank 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
Ms Maryellen Blank, NP
170 Driftwood Dr,
West Islip, NY 11795-5002

Ph: (631) 422-7362
Ms Maryellen Blank, NP
170 Driftwood Dr,
West Islip, NY 11795-5002

Ph: (631) 422-7362

Reviews and Comments


Clinical Nurse Specialist Nurses in West Islip, NY


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.