DR. BLAYNE K STREET D.O.
NPI 1568811636
Pediatrics in Sweetwater, TX
About Dr. Blayne K Street D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAYNE K STREET D.O. (NPI 1568811636) is an individual pediatrics provider in Sweetwater, Texas, licensed in Texas (S6314) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Rolling Plains Memorial Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blayne K Street D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rolling Plains Memorial Hospital
Acute Care Hospitals · Sweetwater, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79556 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blayne Street's NPI number?
The NPI number for Blayne Street is 1568811636. It was assigned to this individual provider in the NPPES registry on June 8, 2016.
Where is Blayne Street located?
Blayne Street practices at 301 Jenny George Lane Building B, Suite 5, Sweetwater, TX 79556. The listed phone number is (325) 219-6175.
What is Blayne Street's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Blayne Street enrolled in Medicare?
Yes. Blayne Street is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Blayne Street accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Blayne Street as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Blayne Street affiliated with any hospitals?
According to CMS data, Blayne Street is affiliated with Rolling Plains Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Blayne Street was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Blayne K Street, D.O. · NPI 1568811636
Pediatrics physician in Sweetwater, Texas. Individual provider, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1568811636 (Entity type: Individual)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** S6314 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 JENNY GEORGE LANE, BUILDING B, SUITE 5, Sweetwater, TX 79556
- **Phone:** (325) 219-6175 · **Fax:** (325) 219-6179
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2016
## Record status
- **NPPES last updated:** June 13, 2022
- **Other identifiers:** Medicaid 426407901 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1568811636) · Data from the CMS NPPES public registry.